Individual provider Active NPI

Wayne Ira Lippman, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1578887907
Registry record updated Mar 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035883 Issued in NY
Practice address
89 7TH Ave
Brooklyn, NY 11217-3601
Phone
(718) 638-4053
NPI assigned
Mar 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 035883 NY Primary

Addresses

Primary practice location

89 7TH Ave
Brooklyn, NY 11217-3601

Mailing address

3310 Fillmore Ave
Brooklyn, NY 11234-4814
Phone (718) 645-4364

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

LicenseStateTypeSpecialty
035883NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268438400000",
    "number": "1578887907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344814",
            "telephone_number": "718-645-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173601",
            "telephone_number": "718-638-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "WAYNE",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-13",
        "last_updated": "2010-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.