Active NPI
Liza Thomas, RPH
- Pharmacist
- Astoria, NY
National Provider Identifier
1437331865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037215
- Practice address
- 4002 Broadway
Astoria, NY 11103-4031 - Phone
- (718) 278-2100
- Fax
- (718) 278-0116
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- 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 | 037215 | NY | Primary |
Addresses
Primary practice location
4002 Broadway
Astoria, NY 11103-4031
Mailing address
137 Buffalo Ave
Medford, NY 11763-3710
Phone (516) 770-4194
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037215 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1437331865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 BUFFALO AVE",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117633710",
"telephone_number": "516-770-4194",
"fax_number": "631-730-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 BROADWAY",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034031",
"telephone_number": "718-278-2100",
"fax_number": "718-278-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LIZA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.