Cindy Dubon, RPH

Individual provider Active NPI Pharmacist · Williston Park, NY

NPI 1225628407 · NPPES record last updated Jan 21, 2021

Key facts

NPI
1225628407
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
043828 (NY)
Practice address
330 Hillside Ave
Williston Park, NY 11596-2104
Phone
(516) 746-0646
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
043828NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
B R G Chemists Inc Past
since Jan 24, 2021
Accepting new patients
JT Medical Services, Inc. Past
since Jan 24, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043828 NY Yes

Addresses

Primary practice location

330 Hillside Ave
Williston Park, NY 11596-2104

Mailing address

2605 Martin Ave
Bellmore, NY 11710-3132
Phone (516) 885-0214

Other providers in Williston Park, NY

All providers in Williston Park, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.