Active NPI
Lezrx Inc
- Community/Retail Pharmacy
- Accord, NY
National Provider Identifier
1639349442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028821
- Legal business name
- LEZRX INC
- Doing business as
- Lezrx Inc
- Practice address
- 4737 Route 209
Lot 2
Accord, NY 12404-5754 - Phone
- (845) 626-1278
- Fax
- (845) 626-1177
- NPI assigned
- Mar 7, 2008
- Last updated
- Jun 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesly Desarme
- Title
- Owner
- Phone
- (845) 626-1278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 028821 | NY | Primary |
Addresses
Primary practice location
4737 Route 209
Lot 2
Accord, NY 12404-5754
Mailing address
PO Box 505
Ellenville, NY 12428-0505
Phone (845) 626-1278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3357527 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 02968367 | Medicaid | NY |
Other names 1
- LEZRX INC
National Provider Directory
National Provider DirectoryLocations
4737 Route 209
#2
Accord, NY 12404
Phone (845) 626-1278
4737 US Highway 209
#2
Accord, NY 12404
Phone (845) 626-1278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307664000000",
"number": "1639349442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124280505",
"telephone_number": "845-626-1278",
"fax_number": "845-626-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4737 ROUTE 209",
"address_2": "LOT 2",
"city": "ACCORD",
"state": "NY",
"postal_code": "124045754",
"telephone_number": "845-626-1278",
"fax_number": "845-626-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEZRX INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2011-06-10",
"status": "A",
"authorized_official_last_name": "DESARME",
"authorized_official_first_name": "LESLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-626-1278"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "028821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3357527",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02968367",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LEZRX INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Accord, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.