Individual provider Active NPI

George Blikstein, PHARMACIST

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1194974774
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33964 Issued in NY
Practice address
6425 108TH St
Forest Hills, NY 11375-1603
Phone
(718) 897-2569
Fax
(718) 897-2570
NPI assigned
Sep 18, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33964 NY Primary

Addresses

Primary practice location

6425 108TH St
Forest Hills, NY 11375-1603

Mailing address

6425 108TH St
Forest Hills, NY 11375-1603
Phone (718) 897-2569

Other identifiers 1

IdentifierTypeStateIssuer
33964OtherNYNYS LICENSE

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

LicenseStateTypeSpecialty
33964NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cort Pharmacy Inc Current Accepting new patients

Locations

6425 108th St
Forest Hills, NY 11375
Phone (718) 897-2569

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1194974774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751603",
            "telephone_number": "718-897-2569",
            "fax_number": "718-897-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751603",
            "telephone_number": "718-897-2569",
            "fax_number": "718-897-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIKSTEIN",
        "first_name": "GEORGE",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "33964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "33964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.