Active NPI
Peggy Weiss
- Pharmacist
- South Fallsburg, NY
National Provider Identifier
1609320753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0049311
- Practice address
- 36 Laurel Ave
South Fallsburg, NY 12779-5804 - Phone
- (917) 716-4939
- NPI assigned
- Aug 6, 2016
- Sex
- Female
- 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 | 0049311 | NY | Primary |
Addresses
Primary practice location
36 Laurel Ave
South Fallsburg, NY 12779-5804
Mailing address
210 Mayhew Dr
South Orange, NJ 07079-1311
Phone (917) 716-4939
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 |
|---|---|---|---|
| 0049311 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470441600000",
"number": "1609320753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MAYHEW DR",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791311",
"telephone_number": "917-716-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 LAUREL AVE",
"city": "SOUTH FALLSBURG",
"state": "NY",
"postal_code": "127795804",
"telephone_number": "917-716-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "PEGGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-06",
"last_updated": "2016-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0049311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Fallsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.