Active NPI
Taylor Marie Mischke
- Pharmacist
- Nanuet, NY
National Provider Identifier
1316595697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066002
- Practice address
- 101 Market St
Nanuet, NY 10954 - Phone
- (845) 624-0659
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 066002 | NY | Primary |
Addresses
Primary practice location
101 Market St
Nanuet, NY 10954
Mailing address
9 Church St
N White Plains, NY 10603-2303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066002 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company LLC | Community/Retail Pharmacy | Current | Accepting new patients |
| Stop and Shop Supermarket Co LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Bethpage Pharmacy Inc | Community/Retail Pharmacy | Past | Accepting new patients |
Locations
101 Market St E
Nanuet, NY 10954
Phone (845) 624-0659
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Nanuet, NY
- NPI 1255363107
-
- Community/Retail Pharmacy
- Bethpage, NY
- NPI 1295875128
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1316595697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CHURCH ST",
"city": "N WHITE PLAINS",
"state": "NY",
"postal_code": "106032303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MARKET ST",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-624-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCHKE",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2022-06-15",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.