Individual provider Active NPI

Jeffrey Stuart Pearlroth, RPH

  • Pharmacist
  • Tarrytown, NY
National Provider Identifier
1003139130
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031903I Issued in NY
Practice address
162 Wildey St
Tarrytown, NY 10591-2910
Phone
(914) 332-0567
Fax
(914) 332-0638
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031903I NY Primary

Addresses

Primary practice location

162 Wildey St
Tarrytown, NY 10591-2910

Mailing address

162 Wildey St
Tarrytown, NY 10591-2910
Phone (914) 332-0567

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
031903INYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1003139130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WILDEY ST",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105912910",
            "telephone_number": "914-332-0567",
            "fax_number": "914-332-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 WILDEY ST",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105912910",
            "telephone_number": "914-332-0567",
            "fax_number": "914-332-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLROTH",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031903I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.