Active NPI
John A Brissette, R,PH.
- Pharmacist
- New York, NY
National Provider Identifier
1598087165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047764
- Practice address
- 661 8TH Ave
New York, NY 10036-7105 - Phone
- (212) 977-1562
- NPI assigned
- Feb 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI024827 | NJ | |
| Pharmacist | 183500000X | 047764 | NY | Primary |
Addresses
Primary practice location
661 8TH Ave
New York, NY 10036-7105
Mailing address
661 8TH Ave
New York, NY 10036-7105
Phone (212) 977-1562
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI024827 | NJ | MD | Pharmacist |
| 047764 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1598087165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100367105",
"telephone_number": "212-977-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100367105",
"telephone_number": "212-977-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISSETTE",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R,PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI024827",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.