Active NPI
Robert Michael Mason, R.PH.
- Pharmacist
- Penn Yan, NY
National Provider Identifier
1073793808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027916
- Practice address
- 138 Elm St
Penn Yan, NY 14527-1412 - Phone
- (315) 536-2373
- Fax
- (315) 531-8046
- NPI assigned
- Nov 8, 2007
- 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 | 027916 | NY | Primary |
Addresses
Primary practice location
138 Elm St
Penn Yan, NY 14527-1412
Mailing address
138 Elm St
Penn Yan, NY 14527-1412
Phone (315) 536-2373
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 |
|---|---|---|---|
| 027916 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1073793808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ELM ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271412",
"telephone_number": "315-536-2373",
"fax_number": "315-531-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 ELM ST",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271412",
"telephone_number": "315-536-2373",
"fax_number": "315-531-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.