Active NPI
Lester Eisenberg, RPH
- Pharmacist
- Southold, NY
National Provider Identifier
1578880092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028221
- Practice address
- 925 Long Creek Dr
Southold, NY 11971-5309 - Phone
- (631) 765-4188
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 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 | 028221 | NY | Primary |
Addresses
Primary practice location
925 Long Creek Dr
Southold, NY 11971-5309
Mailing address
925 Long Creek Dr
Southold, NY 11971-5309
Phone (631) 765-4188
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 |
|---|---|---|---|
| Greenport Drugs LLC | Current | 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.
-
- Community/Retail Pharmacy
- Greenport, NY
- NPI 1174978084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1578880092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 LONG CREEK DR",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119715309",
"telephone_number": "631-765-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 LONG CREEK DR",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119715309",
"telephone_number": "631-765-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "LESTER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.