Active NPI
Mary Ishak, PHARM D
- Pharmacist
- Highland Mills, NY
National Provider Identifier
1669794111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051764
- Practice address
- 535 State Route 32
Highland Mills, NY 10930-5150 - Phone
- (845) 928-3003
- Fax
- (845) 928-1063
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- 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 | 051764 | NY | Primary |
Addresses
Primary practice location
535 State Route 32
Highland Mills, NY 10930-5150
Mailing address
8 Dancer CT
Monroe, NJ 08831-8001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1669794111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 DANCER CT",
"city": "MONROE",
"state": "NJ",
"postal_code": "088318001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 STATE ROUTE 32",
"city": "HIGHLAND MILLS",
"state": "NY",
"postal_code": "109305150",
"telephone_number": "845-928-3003",
"fax_number": "845-928-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHAK",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Mills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.