Individual provider Active NPI

John N. Lipari, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1043484058
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042311 Issued in NY
Practice address
3610 Nostrand Ave
C/O Kings Bay Chemists
Brooklyn, NY 11229-5203
Phone
(718) 891-3447
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS28375 FL
Pharmacist 183500000X 28RI02292100 NJ
Pharmacist 183500000X 042311 NY Primary

Addresses

Primary practice location

3610 Nostrand Ave
C/O Kings Bay Chemists
Brooklyn, NY 11229-5203

Mailing address

3610 Nostrand Ave
Brooklyn, NY 11229-5197
Phone (718) 891-3447

Other identifiers 1

IdentifierTypeStateIssuer
O1471892 044MedicaidNY

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
PS28375FLMDPharmacist
28RI02292100NJMDPharmacist
042311NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Bay Chemists Inc PastSince Jul 12, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1043484058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295197",
            "telephone_number": "718-891-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 NOSTRAND AVE",
            "address_2": "C/O KINGS BAY CHEMISTS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295203",
            "telephone_number": "718-891-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPARI",
        "first_name": "JOHN",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28375",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02292100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O1471892 044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.