Active NPI
Marta Virginia Perez-Lerouzic, RPH
- Pharmacist
- Williston Park, NY
National Provider Identifier
1174709216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043912
- Practice address
- 254 Hillside Ave
Williston Park, NY 11596-2201 - Phone
- (516) 739-2980
- Fax
- (516) 739-1853
- NPI assigned
- Jan 19, 2008
- Last updated
- Jan 19, 2008
- 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 | 043912 | NY | Primary |
Addresses
Primary practice location
254 Hillside Ave
Williston Park, NY 11596-2201
Mailing address
254 Hillside Ave
Williston Park, NY 11596-2201
Phone (516) 739-2980
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200700800000",
"number": "1174709216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962201",
"telephone_number": "516-739-2980",
"fax_number": "516-739-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962201",
"telephone_number": "516-739-2980",
"fax_number": "516-739-1853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-LEROUZIC",
"first_name": "MARTA",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-19",
"last_updated": "2008-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.