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1174655518 NPI number — FOSTER D MYERS III RPH

NPI Number: 1174655518
Health Care Provider/Practitioner: FOSTER D MYERS III RPH

Information about “1174655518” NPI (FOSTER D MYERS III RPH) exists in 1174655518 in HTML format HTML  |  1174655518 in plain Text format TXT  |  1174655518 in PDF (Portable Document Format) PDF  |  1174655518 in an XML format XML  formats.

NPI Number : 1174655518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174655518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MYERS",
    "FirstName": "FOSTER",
    "MiddleName": "D",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "659 CROW HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SKANEATELES",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13152-9379",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-426-6838",
    "MailingAddressFaxNumber": "315-426-6801",
    "FirstLinePracticeLocationAddress": "625 MADISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYRACUSE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-426-6836",
    "PracticeLocationAddressFaxNumber": "315-426-6801",
    "EnumerationDate": "03/12/2007",
    "LastUpdateDate": "08/19/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1835P1300X",
        "TaxonomyName": "Psychiatric Pharmacist",
        "LicenseNumber": "044555",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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