Organization Active NPI

Life Science Pharmacy Inc.

  • Nutrition Support Pharmacist
  • Harriman, NY
National Provider Identifier
1801962287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
030700 Issued in NY
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

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott BerlinerNPI 1932424447
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)CodeLicenseStatePrimary
Nutrition Support PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02258804MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.