Individual provider Active NPI

Dennis S Lagomarsino

  • Pharmacist
  • Princeton, NJ
National Provider Identifier
1336453430
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02088900 Issued in NJ
Practice address
500 Nassau Park Blvd
Princeton, NJ 08540-5991
Phone
(609) 951-0274
Fax
(609) 951-0274
NPI assigned
Jul 30, 2010
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 28RI02088900 NJ Primary

Addresses

Primary practice location

500 Nassau Park Blvd
Princeton, NJ 08540-5991

Mailing address

500 Nassau Park Blvd
Princeton, NJ 08540-5991
Phone (609) 951-0274

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

LicenseStateTypeSpecialty
28RI02088900NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1336453430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NASSAU PARK BLVD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405991",
            "telephone_number": "609-951-0274",
            "fax_number": "609-951-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NASSAU PARK BLVD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405991",
            "telephone_number": "609-951-0274",
            "fax_number": "609-951-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOMARSINO",
        "first_name": "DENNIS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02088900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.