Active NPI
Michael A Rogoff, RPH
- Pharmacist
- Laurelton, NY
National Provider Identifier
1619150794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35567
- Practice address
- 23001 Merrick Blvd
Laurelton, NY 11413-2110 - Phone
- (718) 528-8585
- Fax
- (718) 525-6907
- NPI assigned
- Dec 11, 2007
- 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 | 35567 | NY | Primary |
Addresses
Primary practice location
23001 Merrick Blvd
Laurelton, NY 11413-2110
Mailing address
23001 Merrick Blvd
Laurelton, NY 11413-2110
Phone (718) 528-8585
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 |
|---|---|---|---|
| 35567 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | 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 and National Provider Directory roles.
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1619150794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23001 MERRICK BLVD",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132110",
"telephone_number": "718-528-8585",
"fax_number": "718-525-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23001 MERRICK BLVD",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132110",
"telephone_number": "718-528-8585",
"fax_number": "718-525-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOFF",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "35567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurelton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.