Active NPI
Mitchell Ira Goldstein, RPH
- Geriatric Pharmacist
- Bronx, NY
National Provider Identifier
1275780090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 30484
- Practice address
- 70 E 161St St
Bronx, NY 10451-2207 - Phone
- (718) 665-1163
- NPI assigned
- Aug 22, 2008
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 30484 | NY | Primary |
Addresses
Primary practice location
70 E 161St St
Bronx, NY 10451-2207
Mailing address
70 E 161St St
Bronx, NY 10451-2207
Phone (718) 665-1163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30481 | Other | NY | NYS PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 30484 | NY | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & M Phil Drugs Inc. | Past | Accepting new patients | |
| Bronx Prescription Center South Inc | Past | Accepting new patients |
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.
-
dba Leff Prescription Center
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1669469698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1275780090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E 161ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104512207",
"telephone_number": "718-665-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E 161ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104512207",
"telephone_number": "718-665-1163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MITCHELL",
"middle_name": "IRA",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "30484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACIST LICENSE NUMBER",
"identifier": "30481",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.