Individual provider Active NPI

Edwige Marie Dorime, R.PH.,

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1922282193
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
036041 Issued in NY
Practice address
1200 Fulton St
Brooklyn, NY 11216-2022
Phone
(718) 398-9000
Fax
(718) 398-0122
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 036041 NY Primary

Addresses

Primary practice location

1200 Fulton St
Brooklyn, NY 11216-2022

Mailing address

30 Sarah Dr
Dix Hills, NY 11746-6322
Phone (631) 243-6976

Other identifiers 1

IdentifierTypeStateIssuer
01293865MedicaidNY

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
036041NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
S&E Drugs,Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1922282193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SARAH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466322",
            "telephone_number": "631-243-6976",
            "fax_number": "718-398-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162022",
            "telephone_number": "718-398-9000",
            "fax_number": "718-398-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIME",
        "first_name": "EDWIGE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.PH.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "036041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.