Active NPI
Barbara Chisholm
- Pharmacist
- Oyster Bay, NY
National Provider Identifier
1801068259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048892-1
- Practice address
- 273 Pine Hollow Rd
Oyster Bay, NY 11771-4707 - Phone
- (516) 624-7050
- Fax
- (516) 624-7057
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048892-1 | NY | Primary |
Addresses
Primary practice location
273 Pine Hollow Rd
Oyster Bay, NY 11771-4707
Mailing address
10 Thomas LN
Northport, NY 11768-1639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00366032 | Medicaid | NY |
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 |
|---|---|---|---|
| 048892-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1801068259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 THOMAS LN",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 PINE HOLLOW RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117714707",
"telephone_number": "516-624-7050",
"fax_number": "516-624-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048892-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00366032",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.