Active NPI
Jason M Blitz, R.PH
- Pharmacist
- Big Flats, NY
National Provider Identifier
1114101185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049036
- Practice address
- 485 Maple St
Big Flats, NY 14814-9701 - Phone
- (607) 358-4200
- Fax
- (607) 358-4204
- NPI assigned
- Dec 26, 2007
- Last updated
- Nov 22, 2013
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 049036 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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, 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": "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.