Organization Active NPI

Lezrx Inc

  • Community/Retail Pharmacy
  • Accord, NY
National Provider Identifier
1639349442
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028821 Issued in NY
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3357527OtherNCPDP PROVIDER IDENTIFICATION NUMBER
02968367MedicaidNY

Other names 1

  • LEZRX INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.