Active NPI
Bleron Jance
- Pharmacist
- Monroe, NY
National Provider Identifier
1780050583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060545
- Practice address
- 288 Larkin Dr
Monroe, NY 10950-4911 - Phone
- (845) 783-3505
- NPI assigned
- Aug 15, 2015
- 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 | 060545 | NY | Primary |
Addresses
Primary practice location
288 Larkin Dr
Monroe, NY 10950-4911
Mailing address
929 W End Ave Apt 1D
New York, NY 10025-3548
Phone (646) 763-3966
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 |
|---|---|---|---|
| 060545 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439596800000",
"number": "1780050583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W END AVE APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253548",
"telephone_number": "646-763-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 LARKIN DR",
"city": "MONROE",
"state": "NY",
"postal_code": "109504911",
"telephone_number": "845-783-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANCE",
"first_name": "BLERON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-15",
"last_updated": "2015-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.