Individual provider Active NPI

Debora A Fuentes Carballo, PHARMD, RPH

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1942158803
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
073717 Issued in NY
Practice address
1985 Marcus Ave Ste 130
New Hyde Park, NY 11042-2024
Phone
(877) 227-3405
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 073717 NY Primary

Addresses

Primary practice location

1985 Marcus Ave Ste 130
New Hyde Park, NY 11042-2024

Mailing address

53 Clarke St
Brentwood, NY 11717-2023
Phone (631) 355-6895

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
073717NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sorkins RX LTD PastSince Apr 11, 2021 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": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1942158803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CLARKE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172023",
            "telephone_number": "631-355-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MARCUS AVE STE 130",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422024",
            "telephone_number": "877-227-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES CARBALLO",
        "first_name": "DEBORA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "073717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.