Active NPI
William A. Kist Jr., R. PH.
- Pharmacist
- Plainview, NY
National Provider Identifier
1811219389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028268
- Practice address
- 55 W Ames CT
Suite 200
Plainview, NY 11803-2407 - Phone
- (516) 938-8080
- Fax
- (877) 374-8036
- NPI assigned
- Feb 24, 2010
- 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 | 028268 | NY | Primary |
Addresses
Primary practice location
55 W Ames CT
Suite 200
Plainview, NY 11803-2407
Mailing address
55 W Ames CT
Suite 200
Plainview, NY 11803-2407
Phone (516) 938-8080
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Pharmaceutical Providers LLC | 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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Plainview, NY
- NPI 1184648511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1811219389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W AMES CT",
"address_2": "SUITE 200",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032407",
"telephone_number": "516-938-8080",
"fax_number": "877-374-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W AMES CT",
"address_2": "SUITE 200",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032407",
"telephone_number": "516-938-8080",
"fax_number": "877-374-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIST",
"first_name": "WILLIAM",
"middle_name": "A.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.