Active NPI
Brianna Lopez
- Pharmacist
- Malverne, NY
National Provider Identifier
1104668607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064402
- Practice address
- 247 Hempstead Ave
Malverne, NY 11565-2034 - Phone
- (516) 593-8663
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- 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 | 064402 | NY | Primary |
Addresses
Primary practice location
247 Hempstead Ave
Malverne, NY 11565-2034
Mailing address
1 Atlantic Ave Apt 42
Farmingdale, NY 11735-2770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064402 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oprx #11565, LLC | Current | Accepting new patients | |
| F G L Drug Corp | Current | Accepting new patients |
Locations
247 Hempstead Ave
Malverne, NY 11565
Phone (516) 593-8663
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.
-
dba OnPoint Pharmacy of Malverne
- Community/Retail Pharmacy
- Malverne, NY
- NPI 1316673536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1104668607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATLANTIC AVE APT 42",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117352770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 HEMPSTEAD AVE",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115652034",
"telephone_number": "516-593-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.