Active NPI
David Portnoy, PHARM.D
- Pharmacist
- New York, NY
National Provider Identifier
1649742453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064230
- Practice address
- 113 W 25TH St
New York, NY 10001-7243 - Phone
- (212) 675-3900
- NPI assigned
- Dec 19, 2018
- Last updated
- Dec 25, 2018
- 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 | 064230 | NY | Primary |
Addresses
Primary practice location
113 W 25TH St
New York, NY 10001-7243
Mailing address
113 W 25TH St
New York, NY 10001-7243
Phone (212) 675-3900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capsule Corporation | Past | Accepting new patients |
Organizations & group practices 1
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": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545696000000",
"number": "1649742453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017243",
"telephone_number": "212-675-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017243",
"telephone_number": "212-675-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOY",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.