Individual provider Active NPI

Keith Bruce Lamagna, RPH

  • Pharmacist
  • Plainview, NY
National Provider Identifier
1275855652
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
034803 Issued in NY
Practice address
55 W Ames CT
Suite 200
Plainview, NY 11803-2304
Phone
(516) 938-8080
Fax
(866) 434-8445
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 034803 NY Primary

Addresses

Primary practice location

55 W Ames CT
Suite 200
Plainview, NY 11803-2304

Mailing address

6 Huxley Lane
Lake Ronkonkoma, NY 11779
Phone (631) 981-6072

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

LicenseStateTypeSpecialty
034803NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Pharmaceutical Providers LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1275855652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUXLEY LANE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-981-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W AMES CT",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032304",
            "telephone_number": "516-938-8080",
            "fax_number": "866-434-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAGNA",
        "first_name": "KEITH",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "034803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.