Active NPI
Mark Patrick Freitas, R.PH.
- Pharmacist
- Washingtonville, NY
National Provider Identifier
1558490235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039972
- Practice address
- 32 W Main St Unit 2
Washingtonville, NY 10992-1411 - Phone
- (845) 496-8001
- Fax
- (845) 496-8005
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R26118 | NJ | |
| Pharmacist | 183500000X | RP041340R | PA | |
| Pharmacist | 183500000X | 039972 | NY | Primary |
Addresses
Primary practice location
32 W Main St Unit 2
Washingtonville, NY 10992-1411
Mailing address
32 W Main St Unit 2
Washingtonville, NY 10992-1411
Phone (845) 496-8001
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R26118 | NJ | MD | Pharmacist |
| 039972 | NY | MD | Pharmacist |
| RP041340R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washingtonville Pharmacy Inc | Current | Accepting new patients | |
| Washingtonville Pharmacy Inc | Current | Accepting new patients |
Locations
6 Depot St
Ste 105
Washingtonville, NY 10992
Phone (845) 496-8001
32 W Main St
Ste 2
Washingtonvle, NY 10992
Phone (845) 496-8001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Washingtonville, NY
- NPI 1629794532
-
dba Washingtonville Pharmacy
- Community/Retail Pharmacy
- Washingtonville, NY
- NPI 1730213448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1558490235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W MAIN ST UNIT 2",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921411",
"telephone_number": "845-496-8001",
"fax_number": "845-496-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W MAIN ST UNIT 2",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921411",
"telephone_number": "845-496-8001",
"fax_number": "845-496-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "MARK",
"middle_name": "PATRICK",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "R26118",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041340R",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washingtonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.