Jonathan Scott Podlaski, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

053990 Issued in NY

Practice address

575 Underhill Blvd
Suite 110
Syosset, NY 11791-3426

Phone

(855) 794-6634

Fax

(855) 794-6635

NPI assigned

Mar 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Specialty RX Home Meds Inc

  • Long Term Care Pharmacy
  • Syosset, NY
  • NPI 1740675362
  NPD (past)

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1477876555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 THOMPSON PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115634022",
            "telephone_number": "516-395-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD",
            "address_2": "SUITE 110",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913426",
            "telephone_number": "855-794-6634",
            "fax_number": "855-794-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLASKI",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "053990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04548876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Pliskin, M.D.
• Anna S Ploska
• Donna Plotkin, C.C.C/SLP
• PM Pediatrics PC
• PMH Optical Inc
• Arthur Podwall, PHD
• Marcia Podwall, MS
• Roxane Polak, PH.D.
• Jennifer Polidoro
• Cristina Frances Polizzi, O.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Syosset, NY
• Providers in Syosset, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.