Active NPI
Joseph F Wing
- Pharmacist
- Freeport, NY
National Provider Identifier
1376866384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036835
- Practice address
- 89 Henry St
Freeport, NY 11520-3906 - Phone
- (631) 757-6559
- NPI assigned
- Mar 4, 2010
- Sex
- Male
- 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 | 036835 | NY | Primary |
Addresses
Primary practice location
89 Henry St
Freeport, NY 11520-3906
Mailing address
17 Drake PL
Northport, NY 11768-1021
Phone (631) 757-6559
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 |
|---|---|---|---|
| 036835 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1376866384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DRAKE PL",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681021",
"telephone_number": "631-757-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 HENRY ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203906",
"telephone_number": "631-757-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "JOSEPH",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.