Individual provider Active NPI

Lisa Ann Carrieri-Veneziano, RPH

  • Pharmacist
  • Whitestone, NY
National Provider Identifier
1356519235
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037117 Issued in NY
Practice address
15301 10TH Ave
Whitestone, NY 11357-1233
Phone
(718) 767-0052
Fax
(718) 767-7051
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037117 NY Primary

Addresses

Primary practice location

15301 10TH Ave
Whitestone, NY 11357-1233

Mailing address

15117 26TH Ave
Flushing, NY 11354-1515
Phone (718) 767-7611

Other identifiers 1

IdentifierTypeStateIssuer
037117OtherNYRPH STATE LICENSE #

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

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1356519235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15117 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541515",
            "telephone_number": "718-767-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 10TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571233",
            "telephone_number": "718-767-0052",
            "fax_number": "718-767-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIERI-VENEZIANO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH STATE LICENSE #",
            "identifier": "037117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.