Active NPI
Elizabeth Christine Lazore
- Pharmacist
- New Hartford, NY
National Provider Identifier
1174038251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063727
- Practice address
- 49 Kellogg Rd
New Hartford, NY 13413-2849 - Phone
- (315) 734-1893
- NPI assigned
- Dec 11, 2017
- Last updated
- Jul 16, 2020
- 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 | 063727 | NY | Primary |
Addresses
Primary practice location
49 Kellogg Rd
New Hartford, NY 13413-2849
Mailing address
33 Capardo Dr
Whitesboro, NY 13492-2937
Other practice location 1
301 S Salina St
Syracuse, NY 13202-1601
Phone (315) 471-0373
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 |
|---|---|---|---|
| 063727 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreens | Current | Accepting new patients |
Locations
49 Kellogg Rd
New Hartford, NY 13413
Phone (315) 734-1893
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.
-
- Pharmacy
- New Hartford, NY
- NPI 1063039410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1174038251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CAPARDO DR",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134922937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 KELLOGG RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132849",
"telephone_number": "315-734-1893"
}
],
"practiceLocations": [
{
"address_1": "301 S Salina St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132021601",
"country_code": "US",
"telephone_number": "315-471-0373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZORE",
"first_name": "ELIZABETH",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.