Active NPI
Keith Joseph Maca
- Pharmacist
- Syosset, NY
National Provider Identifier
1518397991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058636
- Practice address
- 221 Jericho Tpke
Syosset, NY 11791-4515 - Phone
- (516) 592-6420
- NPI assigned
- Nov 20, 2013
- Last updated
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH233943 | MA | |
| Pharmacist | 183500000X | 058636 | NY | Primary |
Addresses
Primary practice location
221 Jericho Tpke
Syosset, NY 11791-4515
Mailing address
221 Jericho Tpke
Syosset, NY 11791-4515
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 |
|---|---|---|---|
| PH233943 | MA | MD | Pharmacist |
| 058636 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1518397991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 JERICHO TPKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 JERICHO TPKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914515",
"telephone_number": "516-592-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACA",
"first_name": "KEITH",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-20",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233943",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.