Active NPI
John Fitzgerald Konsul, RPH
- Pharmacist
- Catskill, NY
National Provider Identifier
1679755250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039745
- Practice address
- 320 W Bridge St
Catskill, NY 12414-1730 - Phone
- (518) 943-3949
- Fax
- (518) 943-9280
- NPI assigned
- Dec 5, 2007
- 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 | 039745 | NY | Primary |
Addresses
Primary practice location
320 W Bridge St
Catskill, NY 12414-1730
Mailing address
320 W Bridge St
Catskill, NY 12414-1730
Phone (518) 943-3949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01909860 | Medicaid | NY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039745 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golub Corporation | Past | Accepting new patients | |
| Golub Corporation | 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.
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1083727002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1679755250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W BRIDGE ST",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141730",
"telephone_number": "518-943-3949",
"fax_number": "518-943-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W BRIDGE ST",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141730",
"telephone_number": "518-943-3949",
"fax_number": "518-943-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSUL",
"first_name": "JOHN",
"middle_name": "FITZGERALD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01909860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.