Courtney Aubertine, PHARMD
Individual provider Active NPI Pharmacist · Watertown, NY
NPI 1962748459 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1962748459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- I056885-1 (NY)
- Practice address
- 315 Arsenal St
Watertown, NY 13601-2431 - Phone
- (315) 785-9079
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I056885-1 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I056885-1 | NY | Yes |
Addresses
Primary practice location
315 Arsenal St
Watertown, NY 13601-2431
Mailing address
165 Doris Park Dr
Constantia, NY 13044-2801
Phone (315) 559-4372
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2013. 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.