Active NPI
Dennis Fontaine
- Pharmacist
- Ithaca, NY
National Provider Identifier
1902082910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037086
- Practice address
- 135 Fairgrounds Memorial Pkwy
Ithaca, NY 14850-5362 - Phone
- (607) 277-8126
- Fax
- (607) 277-8613
- NPI assigned
- Jan 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 037086 | NY | Primary |
Addresses
Primary practice location
135 Fairgrounds Memorial Pkwy
Ithaca, NY 14850-5362
Mailing address
135 Fairgrounds Memorial Pkwy
Ithaca, NY 14850-5362
Phone (607) 277-8126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1902082910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 FAIRGROUNDS MEMORIAL PKWY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505362",
"telephone_number": "607-277-8126",
"fax_number": "607-277-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 FAIRGROUNDS MEMORIAL PKWY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505362",
"telephone_number": "607-277-8126",
"fax_number": "607-277-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "DENNIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-21",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.