Active NPI
Lawrence Jay Sussman, R.PH.
- Pharmacist
- Melville, NY
National Provider Identifier
1568794261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026401
- Practice address
- 459 Walt Whitman Rd
Melville, NY 11747-2106 - Phone
- (631) 421-5454
- Fax
- (631) 421-0437
- NPI assigned
- Feb 4, 2010
- Last updated
- Feb 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 026401 | NY | Primary |
Addresses
Primary practice location
459 Walt Whitman Rd
Melville, NY 11747-2106
Mailing address
432 Madeira Blvd
Melville, NY 11747-5212
Phone (631) 367-3821
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larke Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1568794261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 MADEIRA BLVD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475212",
"telephone_number": "631-367-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 WALT WHITMAN RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472106",
"telephone_number": "631-421-5454",
"fax_number": "631-421-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "LAWRENCE",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "026401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.