Lisa Lisa Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

025491 Issued in NY

Legal business name

LISA LISA INC.

Practice address

2330 Broadway
New York, NY 10024-4342

Phone

(212) 724-1950

Fax

(212) 724-1946

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Winzelberg, RPHNPI 1265443329

Title

Sect/Treas - Supervising Pharmacist

Phone

(212) 724-1950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Broadway Family Pharmacy Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Winzelberg, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1265443329
  NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1376554527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244342",
            "telephone_number": "212-724-1950",
            "fax_number": "212-724-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244342",
            "telephone_number": "212-724-1950",
            "fax_number": "212-724-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LISA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "WINZELBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "SECT/TREAS - SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-724-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02329862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa C Fishman MD PLLC
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• Lisa Kiu Law, M.D., PLLC
• Lisa Lerner, LCSW
• Lisa M Bartoli DO, PLLC
• Lisa M Johnson M.D.
• Lisa Mennella Corp
• Lisa Moskovitz Nutrition PLLC
• Lisa Park, M.D. PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.