Lizandei June Bernardo
Individual provider Active NPI Pharmacist · West Islip, NY
NPI 1437812609 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1437812609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 068200 (NY)
- Practice address
- 499 Montauk Hwy
West Islip, NY 11795-4414 - Phone
- (631) 422-1912
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 068200 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past |
Accepting new patients | |
| CVS Albany LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068200 | NY | Yes |
Addresses
Primary practice location
499 Montauk Hwy
West Islip, NY 11795-4414
Mailing address
499 Montauk Hwy
West Islip, NY 11795-4414
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. 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.