Active NPI
Miriam Nathan-Lifshitz
- Pharmacist
- Corona, NY
National Provider Identifier
1194047639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046153-1
- Practice address
- 3504C Junction Blvd
Corona, NY 11368-1743 - Phone
- (718) 424-4538
- Fax
- (718) 424-4537
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046153-1 | NY | Primary |
| Pharmacist | 183500000X | 0461531 | NY |
Addresses
Primary practice location
3504C Junction Blvd
Corona, NY 11368-1743
Mailing address
160 Hollywood Xing
Lawrence, NY 11559-2710
Phone (516) 371-5690
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 |
|---|---|---|---|
| 046153-1 | NY | MD | Pharmacist |
| 0461531 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Raphael Pharmacy Inc | Current | Accepting new patients | |
| San Isidro Ec Corp | Past | Accepting new patients |
Locations
3504 Junction Blvd
#C
Corona, NY 11368
Phone (718) 424-4538
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Corona, NY
- NPI 1326820978
-
- Community/Retail Pharmacy
- Corona, NY
- NPI 1245790260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1194047639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HOLLYWOOD XING",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115592710",
"telephone_number": "516-371-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504C JUNCTION BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681743",
"telephone_number": "718-424-4538",
"fax_number": "718-424-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN-LIFSHITZ",
"first_name": "MIRIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046153-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0461531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.