Don Pierce, RPH
Individual provider Active NPI Pharmacist · Ticonderoga, NY
NPI 1922320654 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1922320654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 038825-1 (NY)
- Practice address
- 1134 Wicker St
Ticonderoga, NY 12883-3103 - Phone
- (518) 585-6486
- NPI assigned
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038825-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 038825-1 | NY | Yes |
Addresses
Primary practice location
1134 Wicker St
Ticonderoga, NY 12883-3103
Mailing address
197 Goodman Rd
Fort Ann, NY 12827-5315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0388251 | Other | NY | PHARMACIST REGISTRATION |
Other providers in Ticonderoga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.