Active NPI
Wesley D Joseph, PHARMACY TECH COORDI
- Pharmacy Technician
- Brentwood, NY
National Provider Identifier
1689297657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 3445
- Practice address
- 116 Springfield Rd
Brentwood, NY 11717-4734 - Phone
- (347) 612-7156
- NPI assigned
- May 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 3445 | NY | Primary |
Addresses
Primary practice location
116 Springfield Rd
Brentwood, NY 11717-4734
Mailing address
116 Springfield Rd
Brentwood, NY 11717-4734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3476127156 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Wej9007@NYP.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3445 | NY | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590364800000",
"number": "1689297657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SPRINGFIELD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SPRINGFIELD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174734",
"telephone_number": "347-612-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "WESLEY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PHARMACY TECH COORDI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-25",
"last_updated": "2020-05-25",
"certification_date": "2020-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NY",
"license": "3445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3476127156",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Wej9007@NYP.org",
"affiliation": "N",
"endpointDescription": "Pharmaceutical prescription filler",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical",
"address_1": "116 Springfield Rd",
"city": "Brentwood",
"state": "NY",
"country_code": "US",
"postal_code": "117174734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.