Individual provider Active NPI

Laura H Kazokas, PHARM.D

  • Pharmacist
  • Oyster Bay, NY
National Provider Identifier
1144400466
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050777 Issued in NY
Practice address
273 Pine Hollow Rd
Oyster Bay, NY 11771-4707
Phone
(516) 624-7050
Fax
(516) 624-7057
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050777 NY Primary
Pharmacist 183500000X 28RI03051900 NJ

Addresses

Primary practice location

273 Pine Hollow Rd
Oyster Bay, NY 11771-4707

Mailing address

16355 25TH Dr
Flushing, NY 11358-1005
Phone (718) 461-0716

Other identifiers 1

IdentifierTypeStateIssuer
01660113MedicaidNY

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03051900NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1144400466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16355 25TH DR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581005",
            "telephone_number": "718-461-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 PINE HOLLOW RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117714707",
            "telephone_number": "516-624-7050",
            "fax_number": "516-624-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZOKAS",
        "first_name": "LAURA",
        "middle_name": "H",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050777",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03051900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660113",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.