1285768267 NPI number — MR. KARL D FIEBELKORN RPH, MBA

Table of content: MR. KARL D FIEBELKORN RPH, MBA (NPI 1285768267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285768267 NPI number — MR. KARL D FIEBELKORN RPH, MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIEBELKORN
Provider First Name:
KARL
Provider Middle Name:
D
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH, MBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285768267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 DEER RIDGE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GETZVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14068-1292
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-636-3022
Provider Business Mailing Address Fax Number:
716-636-3022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIVERSITY AT BUFFALO SCHOOL OF PHARMACY PHARM SCI
Provider Second Line Business Practice Location Address:
126 A COOKE HALL
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14260-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-645-2824
Provider Business Practice Location Address Fax Number:
716-645-3688
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  031636 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com