Active NPI
Steven W Tuckman, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1811011240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043482
- Practice address
- 111 E 210TH St
Department of Pharmacy
Bronx, NY 10467-2401 - Phone
- (718) 920-4300
- NPI assigned
- Mar 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043482 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Department of Pharmacy
Bronx, NY 10467-2401
Mailing address
537 Steven Ave
West Hempstead, NY 11552-2853
Phone (516) 565-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043482 | Other | NY | PHARMACY LICENSE |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043482 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811011240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 STEVEN AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522853",
"telephone_number": "516-565-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKMAN",
"first_name": "STEVEN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "043482",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.