Leonard Norman Rosokoff, PHARMACIST
Individual provider Active NPI Pharmacist · Tonawnada, NY
NPI 1437330149 · NPPES record last updated Nov 21, 2007
Key facts
- NPI
- 1437330149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 023204 (NY)
- Practice address
- 47 Niiagara Street Tonawanda Ny 14150
Tonawnada, NY 14150 - Phone
- (716) 692-3932
- Fax
- (716) 692-7704
- NPI assigned
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023204 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 023204 | NY | Yes |
Addresses
Primary practice location
47 Niiagara Street Tonawanda Ny 14150
Tonawnada, NY 14150
Mailing address
47 Niiagara Street Tonawanda Ny 14150
Tonawnada, NY 14150
Phone (716) 692-3932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00730341 | Medicaid | NY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.