Active NPI
Lisa Marie Geoly, RPH
- Pharmacist
- Staten Island, NY
National Provider Identifier
1811228927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039966
- Practice address
- 1050 Clove Rd
Staten Island, NY 10301-3627 - Phone
- (718) 816-3672
- Fax
- (718) 981-2837
- NPI assigned
- Jan 29, 2010
- 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 | 039966 | NY | Primary |
Addresses
Primary practice location
1050 Clove Rd
Staten Island, NY 10301-3627
Mailing address
485 Vineland Ave
Staten Island, NY 10312-2750
Phone (718) 816-3672
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 |
|---|---|---|---|
| H&R Nyc Pharmaceutical LLC | Current | Accepting new patients | |
| H&R Nyc Pharmaceutical LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Clove Pharmacy
- Long Term Care Pharmacy
- Staten Island, NY
- NPI 1720885387
-
dba Clove Pharmacy
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1174088348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1811228927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 VINELAND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122750",
"telephone_number": "718-816-3672",
"fax_number": "718-981-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013627",
"telephone_number": "718-816-3672",
"fax_number": "718-981-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEOLY",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.