Robert Emil Grisnik

Primary specialty

PharmacistTaxonomy code 183500000X

License

026794 Issued in NY

Practice address

54 Jagger Lane
Southampton, NY 11968

Phone

(631) 283-1506

Fax

(631) 283-4936

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Southrifty Drug Inc

  • Community/Retail Pharmacy
  • Southampton, NY
  • NPI 1083717409
  NPD Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306949722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 JAGGER LANE",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-1506",
            "fax_number": "631-283-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 JAGGER LANE",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-1506",
            "fax_number": "631-283-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISNIK",
        "first_name": "ROBERT",
        "middle_name": "EMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Katarzyna Gotowicka, NP
• Eugene Carl Greco, DDS
• Barbara Gredysa, M.D.
• Meaghan Gregor
• Anita Grille, M.S., CCC-SLP
• Ana Nonneth Espiritu Guiang
• Cassidy Ann Guida, DO
• Charles V Guida, MD
• Ana Patricia Guzman
• John Michael Gwiazda, R.PH

• Pharmacist in Southampton, NY
• Providers in Southampton, NY by specialty
• Pharmacist in New York

• 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.

Verify at the official NPI Registry.