Individual provider Active NPI

Adam Keith Siegel, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1093037053
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041111 Issued in NY
Practice address
531 Church Ave
Brooklyn, NY 11218-2409
Phone
(718) 436-5501
Fax
(718) 437-9490
NPI assigned
Feb 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 041111 NY Primary

Addresses

Primary practice location

531 Church Ave
Brooklyn, NY 11218-2409

Mailing address

531 Church Ave
Brooklyn, NY 11218-2409
Phone (718) 436-5501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garr Pharmacy Corp Current Accepting new patients
M and J Pharmacy Past Accepting new patients

Locations

531 Church Ave
Brooklyn, NY 11218
Phone (718) 436-5501

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1093037053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182409",
            "telephone_number": "718-436-5501",
            "fax_number": "718-437-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182409",
            "telephone_number": "718-436-5501",
            "fax_number": "718-437-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ADAM",
        "middle_name": "KEITH",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041111",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 18, 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.