Active NPI
Steven Glazer
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1215250691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049559
- Practice address
- 1930 Avenue M
Brooklyn, NY 11230-6202 - Phone
- (718) 375-2400
- Fax
- (718) 375-3805
- NPI assigned
- Mar 12, 2010
- Last updated
- Mar 12, 2010
- Sex
- Male
- 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 | 049559 | NY | Primary |
Addresses
Primary practice location
1930 Avenue M
Brooklyn, NY 11230-6202
Mailing address
1930 Avenue M
Brooklyn, NY 11230-6202
Phone (718) 375-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049559 | Other | NY | NYS BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 049559 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1215250691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 AVENUE M",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306202",
"telephone_number": "718-375-2400",
"fax_number": "718-375-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 AVENUE M",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306202",
"telephone_number": "718-375-2400",
"fax_number": "718-375-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS BOARD OF PHARMACY",
"identifier": "049559",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.