Active NPI
Jillian Smith
- Pharmacist
- Mount Sinai, NY
National Provider Identifier
1477017176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I064253-1
- Practice address
- 5507 Nesconset Hwy
Mount Sinai, NY 11766-2031 - Phone
- (631) 473-7795
- Fax
- (631) 473-7236
- NPI assigned
- Jan 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 | I064253-1 | NY | Primary |
Addresses
Primary practice location
5507 Nesconset Hwy
Mount Sinai, NY 11766-2031
Mailing address
9 Windwood Rd
Bohemia, NY 11716-3622
Phone (631) 617-7925
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 |
|---|---|---|---|
| I064253-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548547200000",
"number": "1477017176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WINDWOOD RD",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117163622",
"telephone_number": "631-617-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 NESCONSET HWY",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117662031",
"telephone_number": "631-473-7795",
"fax_number": "631-473-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-27",
"last_updated": "2019-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I064253-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Sinai, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.