Active NPI
Timothy Leong, RPH
- Pharmacist
- Red Hook, NY
National Provider Identifier
1609210152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I057007
- Practice address
- 7518 N Broadway
Red Hook, NY 12571-1400 - Phone
- (845) 758-9612
- NPI assigned
- Apr 25, 2013
- Last updated
- Apr 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I057007 | NY | Primary |
Addresses
Primary practice location
7518 N Broadway
Red Hook, NY 12571-1400
Mailing address
9 Baker CT
Wappingers Falls, NY 12590-1822
Phone (845) 462-3966
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 |
|---|---|---|---|
| I057007 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | 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": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1609210152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BAKER CT",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125901822",
"telephone_number": "845-462-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7518 N BROADWAY",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711400",
"telephone_number": "845-758-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "TIMOTHY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I057007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Hook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.