Active NPI
Laura Ann Bulmer
- Pharmacy Technician
- Queensbury, NY
National Provider Identifier
1902297484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 578 Aviation Rd
Queensbury, NY 12804-1814 - Phone
- (518) 792-7583
- Fax
- (518) 746-4284
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
578 Aviation Rd
Queensbury, NY 12804-1814
Mailing address
53 Blackhouse Rd
Fort Edward, NY 12828-3310
Phone (518) 307-2201
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": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1902297484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BLACKHOUSE RD",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128283310",
"telephone_number": "518-307-2201",
"fax_number": "518-746-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128041814",
"telephone_number": "518-792-7583",
"fax_number": "518-746-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULMER",
"first_name": "LAURA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.