Lewisboro Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

014021 Issued in NY

Legal business name

LEWISBORO PHARMACY INC

Doing business as

Cross River Pharmacy

Practice address

20 N Salem Rd
Cross River, NY 10518-1104

Phone

(914) 763-3152

Fax

(914) 763-6567

NPI assigned

Dec 8, 2006

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Feldman, RPHNPI 1124102579

Title

VP Pic Owner

Phone

(914) 763-3152

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CROSS RIVER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Feldman, RPH

  • Pharmacist
  • Cross River, NY
  • NPI 1124102579
  NPD Authorized official
• Danielle Bottos, RPH

  • Pharmacist
  • Cross River, NY
  • NPI 1457269755
  NPD (past)
• Carmela Carrozza, PHARMD

  • Pharmacist
  • Cross River, NY
  • NPI 1982104451
  NPD (past)
• Joyce Anne Domingo Cristobal, PHARMACIST (RPH)

  • Pharmacist
  • Cross River, NY
  • NPI 1275306334
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1023177490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105180696",
            "telephone_number": "914-763-3152",
            "fax_number": "914-763-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N SALEM RD",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181104",
            "telephone_number": "914-763-3152",
            "fax_number": "914-763-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBORO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "VP PIC OWNER",
        "authorized_official_telephone_number": "914-763-3152",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068722",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS RIVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Gelbart, OD
• Elliot M Greenberg, DPT
• Cynthia Leigh Haupt, LCSW-R
• Dariusz Marek Jarzabkowski, PT
• Somesh Kaushik, ND, BAMS, MPH, MPA
• Lewisboro Physical Therapy PC
• Lewisboro Volunteer Ambulance Corps, Inc
• Dale Susan Lichtenstein
• Jaclyn Lopresto
• Barbara A. Lynch, DDS

• Community/Retail Pharmacy in Cross River, NY
• Providers in Cross River, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.