Individual provider Active NPI

Michael Javier Lainfiesta, PHARMD

  • Pharmacist
  • Elmhurst, NY
National Provider Identifier
1558053850
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070324 Issued in NY
Practice address
7512 Broadway
Elmhurst, NY 11373-5611
Phone
(718) 489-1114
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070324 NY Primary

Addresses

Primary practice location

7512 Broadway
Elmhurst, NY 11373-5611

Mailing address

1 W Farms Square PLZ Apt 6C
Bronx, NY 10460-2979
Phone (718) 496-0035

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
070324NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince May 28, 2023 Accepting new patients
Walgreen Co PastSince May 28, 2023 Accepting new patients

Locations

7512 Broadway
Elmhurst, NY 11373
Phone (718) 489-1114

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1558053850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W FARMS SQUARE PLZ APT 6C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602979",
            "telephone_number": "718-496-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735611",
            "telephone_number": "718-489-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINFIESTA",
        "first_name": "MICHAEL",
        "middle_name": "JAVIER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.