Active NPI
Jose Luis Colon, M.S.,R.PH.
- Pharmacist
- Mohegan Lake, NY
National Provider Identifier
1700054293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028644
- Practice address
- 3105 E Main St
Mohegan Lake, NY 10547-1521 - Phone
- (914) 526-0240
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- 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 | 028644 | NY | Primary |
Addresses
Primary practice location
3105 E Main St
Mohegan Lake, NY 10547-1521
Mailing address
3781 Oriole CT
Shrub Oak, NY 10588-1208
Phone (914) 243-6881
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
- Master of Science, Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Atlantic & Pacific Tea Company Inc | Past | Accepting new patients | |
| Great Atlantic & Pacific Tea Company Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A & P Pharmacy
- Pharmacy
- Mohegan Lake, NY
- NPI 1821013384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1700054293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3781 ORIOLE CT",
"city": "SHRUB OAK",
"state": "NY",
"postal_code": "105881208",
"telephone_number": "914-243-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 E MAIN ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471521",
"telephone_number": "914-526-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "M.S.,R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mohegan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.