Individual provider Active NPI

Neal Rairden, R.PH.

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1629457106
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037228 Issued in NY
Practice address
1999 Marcus Ave
Suite 116
New Hyde Park, NY 11042-1033
Phone
(347) 266-6674
Fax
(516) 403-1565
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037228 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 116
New Hyde Park, NY 11042-1033

Mailing address

1999 Marcus Ave
Suite 116
New Hyde Park, NY 11042-1033
Phone (347) 266-6674

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

LicenseStateTypeSpecialty
037228NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1629457106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 116",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033",
            "telephone_number": "347-266-6674",
            "fax_number": "516-403-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 116",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033",
            "telephone_number": "347-266-6674",
            "fax_number": "516-403-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIRDEN",
        "first_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.