Active NPI
Nisha John Joseph, PHARMD
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1770084725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063873
- Practice address
- 93 Forest Ave
Glen Cove, NY 11542-2109 - Phone
- (516) 671-4908
- NPI assigned
- Feb 26, 2018
- Last updated
- Sep 14, 2020
- 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 | 063873 | NY | Primary |
Addresses
Primary practice location
93 Forest Ave
Glen Cove, NY 11542-2109
Mailing address
93 Forest Ave
Glen Cove, NY 11542-2109
Other practice location 1
275 Broadway
Amityville, NY 11701-2708
Phone (631) 841-1630
Other practice location 2
1770 Deer Park Ave
Deer Park, NY 11729-5203
Phone (631) 667-7023
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063873 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1770084725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 FOREST AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 FOREST AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422109",
"telephone_number": "516-671-4908"
}
],
"practiceLocations": [
{
"address_1": "275 Broadway",
"address_purpose": "LOCATION",
"city": "Amityville",
"state": "NY",
"postal_code": "117012708",
"country_code": "US",
"telephone_number": "631-841-1630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1770 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117295203",
"country_code": "US",
"telephone_number": "631-667-7023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "NISHA",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.