Lisa M Passino, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

041037 Issued in NY

Practice address

6 Worthington Blvd
Wynantskill, NY 12198-8142

Phone

(518) 641-3231

Fax

(518) 641-3208

NPI assigned

Sep 27, 2010

Last updated

Sep 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1174832059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WORTHINGTON BLVD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121988142",
            "telephone_number": "518-641-3231",
            "fax_number": "518-641-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WORTHINGTON BLVD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121988142",
            "telephone_number": "518-641-3231",
            "fax_number": "518-641-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSINO",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne A O'Connor
• Mary Ellen Ellen Pace, RN
• Pakatar LCSW Counseling Services, PLLC
• Ritchie J Parrotta, D.O.
• Scott Michael Parrotta, DO
• Marie Teresa Patrignani, RN
• Elishama Petersen
• Patrice Marie Pettitt
• Forman Phillips, PH.D.
• Jillian Picarillo, DPT

• Pharmacist in Wynantskill, NY
• Providers in Wynantskill, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.