Active NPI
Sebastian Pedemonte
- Pharmacist
- Lynbrook, NY
National Provider Identifier
1619633781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065673
- Practice address
- 633 Merrick Rd
Lynbrook, NY 11563-2313 - Phone
- (516) 599-0490
- NPI assigned
- Nov 12, 2021
- Last updated
- Nov 12, 2021
- 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 | 065673 | NY | Primary |
Addresses
Primary practice location
633 Merrick Rd
Lynbrook, NY 11563-2313
Mailing address
176 Crown Ave
Elmont, NY 11003-1029
Phone (516) 306-8704
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 |
|---|---|---|---|
| 065673 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1619633781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 CROWN AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031029",
"telephone_number": "516-306-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 MERRICK RD",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632313",
"telephone_number": "516-599-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDEMONTE",
"first_name": "SEBASTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.