Organization Active NPI

Leonard Park Pharmacy Inc

  • Community/Retail Pharmacy
  • Mount Kisco, NY
National Provider Identifier
1184638181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8406 Issued in NY
Legal business name
LEONARD PARK PHARMACY INC
Practice address
454 E Main St
Mount Kisco, NY 10549-3434
Phone
(914) 666-8941
Fax
(914) 666-8575
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Browne, R.PH
Title
Owner
Phone
(914) 666-8941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8406 NY Primary

Addresses

Primary practice location

454 E Main St
Mount Kisco, NY 10549-3434

Mailing address

454 E Main St
Mount Kisco, NY 10549-3434
Phone (914) 666-8941

Other identifiers 1

IdentifierTypeStateIssuer
00506625MedicaidNY

National Provider Directory

National Provider Directory

Locations

454 E Main St
Mount Kisco, NY 10549
Phone (914) 666-8941

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184638181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493434",
            "telephone_number": "914-666-8941",
            "fax_number": "914-666-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493434",
            "telephone_number": "914-666-8941",
            "fax_number": "914-666-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-666-8941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00506625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.