Individual provider Active NPI

Marissa Sofia Ochs, PHARM.D.

  • Pharmacist
  • Ozone Park, NY
National Provider Identifier
1629470075
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
059717 Issued in NY
Practice address
9320 Liberty Ave
Ozone Park, NY 11417-1528
Phone
(718) 641-5648
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 059717 NY Primary

Addresses

Primary practice location

9320 Liberty Ave
Ozone Park, NY 11417-1528

Mailing address

15926 87TH St
Howard Beach, NY 11414-3032
Phone (646) 529-6630

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
059717NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SMP Pharmacy Corporation Past Accepting new patients
JB Pharmacy Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1629470075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15926 87TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143032",
            "telephone_number": "646-529-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171528",
            "telephone_number": "718-641-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHS",
        "first_name": "MARISSA",
        "middle_name": "SOFIA",
        "name_prefix": "Miss",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.