Active NPI
Life Science Pharmacy Inc.
- Nutrition Support Pharmacist
- Harriman, NY
National Provider Identifier
1801962287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 030700
- Legal business name
- LIFE SCIENCE PHARMACY INC.
- Practice address
- 144 Route 17M
Harriman, NY 10926-3329 - Phone
- (845) 781-7613
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Berliner
- Title
- Pharmacist
- Phone
- (845) 781-7613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 030700 | NY | Primary |
Addresses
Primary practice location
144 Route 17M
Harriman, NY 10926-3329
Mailing address
144 Route 17M
Harriman, NY 10926-3329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02258804 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Harriman, NY
- NPI 1932424447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801962287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ROUTE 17M",
"city": "HARRIMAN",
"state": "NY",
"postal_code": "109263329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 ROUTE 17M",
"city": "HARRIMAN",
"state": "NY",
"postal_code": "109263329",
"telephone_number": "845-781-7613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SCIENCE PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERLINER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "845-781-7613"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Nutrition Support",
"state": "NY",
"license": "030700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02258804",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.