Active NPI
Steven A Lazzara, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1801041413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038804
- Practice address
- 5915 Avenue N
Brooklyn, NY 11234-4129 - Phone
- (718) 209-2222
- NPI assigned
- Nov 24, 2008
- Last updated
- Jan 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 038804 | NY | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 038804 | NY |
Addresses
Primary practice location
5915 Avenue N
Brooklyn, NY 11234-4129
Mailing address
404 Atlantis Ave
Manahawkin, NJ 08050-2060
Phone (609) 978-4717
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 |
|---|---|---|---|
| 038804 | NY | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deru Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1801041413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 ATLANTIS AVE",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502060",
"telephone_number": "609-978-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 AVENUE N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344129",
"telephone_number": "718-209-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZZARA",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038804",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "038804",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.