Individual provider Active NPI

Erin Masutani, PHARM D

  • Pharmacist
  • Walden, NY
National Provider Identifier
1457669202
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054921 Issued in NY
Practice address
78 Oak St
Walden, NY 12586-1076
Phone
(845) 778-1388
NPI assigned
Sep 15, 2010
Last updated
May 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 054921 NY Primary

Addresses

Primary practice location

78 Oak St
Walden, NY 12586-1076

Mailing address

PO Box 175
Harriman, NY 10926-0175

Other practice location 1

900 Washington Rd
West Point, NY 10996-1109
Phone (845) 938-7992

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
054921NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golub Corporation Past Accepting new patients
Thruway Pharmacy, Inc. PastSince Jun 7, 2020 Accepting new patients
Golub Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1457669202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109260175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OAK ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861076",
            "telephone_number": "845-778-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NY",
            "postal_code": "109961109",
            "country_code": "US",
            "telephone_number": "845-938-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUTANI",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.