Active NPI
Michael T Hushin, R.PH.
- Pharmacist
- Ronkonkoma, NY
National Provider Identifier
1235206913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045209
- Practice address
- 886 Johnson Ave
Ronkonkoma, NY 11779-6058 - Phone
- (631) 588-6330
- Fax
- (631) 588-5932
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 045209 | NY | Primary |
Addresses
Primary practice location
886 Johnson Ave
Ronkonkoma, NY 11779-6058
Mailing address
130 Rockaway St
Islip Terrace, NY 11752-1019
Phone (631) 277-4814
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045209 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Beauty AIDS, LTD | Current | Accepting new patients |
Locations
886 Johnson Ave
Ronkonkoma, NY 11779
Phone (631) 588-6330
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": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235206913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ROCKAWAY ST",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117521019",
"telephone_number": "631-277-4814",
"fax_number": "631-588-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 JOHNSON AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117796058",
"telephone_number": "631-588-6330",
"fax_number": "631-588-5932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSHIN",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.