Active NPI
Robert T Mason, PHARMD, M.S.
- Pharmacist
- South Ozone Park, NY
National Provider Identifier
1013230531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30920
- Practice address
- 13525 Lefferts Blvd
South Ozone Park, NY 11420-3601 - Phone
- (718) 843-3900
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30920 | NY | Primary |
Addresses
Primary practice location
13525 Lefferts Blvd
South Ozone Park, NY 11420-3601
Mailing address
13525 Lefferts Blvd
South Ozone Park, NY 11420-3601
Phone (718) 843-3900
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30920 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakefield Pharmacy Inc. | Pharmacist | Past | 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.
-
- Pharmacist
- South Ozone Park, NY
- NPI 1619195898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1013230531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13525 LEFFERTS BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114203601",
"telephone_number": "718-843-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13525 LEFFERTS BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114203601",
"telephone_number": "718-843-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "ROBERT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARMD, M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "30920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.