Individual provider Active NPI

Steve Kurtin

  • Pharmacist
  • Great Neck, NY
National Provider Identifier
1063736940
Registry record updated Mar 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040899 Issued in NY
Practice address
200 Community Dr
Great Neck, NY 11021-5504
Phone
(516) 414-3900
NPI assigned
Mar 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 040899 NY Primary

Addresses

Primary practice location

200 Community Dr
Great Neck, NY 11021-5504

Mailing address

104 4TH St
Garden City Park, NY 11040-4118
Phone (516) 385-4014

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

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269129600000",
    "number": "1063736940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 4TH ST",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110404118",
            "telephone_number": "516-385-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-414-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTIN",
        "first_name": "STEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.