Active NPI
Steven Dershowitz, R.PH
- Pharmacist
- Rye, NY
National Provider Identifier
1073770343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28461
- Practice address
- 464 Forest Ave
Rye, NY 10580-3645 - Phone
- (914) 967-0856
- Fax
- (914) 967-1989
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 28461 | NY | Primary |
Addresses
Primary practice location
464 Forest Ave
Rye, NY 10580-3645
Mailing address
464 Forest Ave
Rye, NY 10580-3645
Phone (914) 967-0856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28461 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RBP Theall Rd, LLC | Past | Accepting new patients | |
| Rye Beach Pharmacy, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1073770343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 FOREST AVE",
"city": "RYE",
"state": "NY",
"postal_code": "105803645",
"telephone_number": "914-967-0856",
"fax_number": "914-967-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 FOREST AVE",
"city": "RYE",
"state": "NY",
"postal_code": "105803645",
"telephone_number": "914-967-0856",
"fax_number": "914-967-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERSHOWITZ",
"first_name": "STEVEN",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "28461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.