Individual provider Active NPI

Jason M Blitz, R.PH

  • Pharmacist
  • Big Flats, NY
National Provider Identifier
1114101185
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049036 Issued in NY
Practice address
485 Maple St
Big Flats, NY 14814-9701
Phone
(607) 358-4200
Fax
(607) 358-4204
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049036 NY Primary

Addresses

Primary practice location

485 Maple St
Big Flats, NY 14814-9701

Mailing address

485 Maple St
Big Flats, NY 14814-9701
Phone (607) 358-4200

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

LicenseStateTypeSpecialty
049036NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blitz Pharmacy Inc Current Accepting new patients

Locations

485 Maple St
Big Flats, NY 14814
Phone (607) 358-4200

Organizations & group practices 1

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1114101185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MAPLE ST",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-358-4200",
            "fax_number": "607-358-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MAPLE ST",
            "city": "BIG FLATS",
            "state": "NY",
            "postal_code": "148149701",
            "telephone_number": "607-358-4200",
            "fax_number": "607-358-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZ",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Flats, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.