Individual provider Active NPI

Judy W Hertz, RPH

  • Pharmacist
  • Hampton Bays, NY
National Provider Identifier
1821312265
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035889 Issued in NY
Practice address
39 W Montauk Hwy Ste 4
Hampton Bays, NY 11946-4094
Phone
(631) 728-4030
Fax
(631) 728-0627
NPI assigned
Mar 14, 2010
Last updated
Mar 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 035889 NY Primary

Addresses

Primary practice location

39 W Montauk Hwy Ste 4
Hampton Bays, NY 11946-4094

Mailing address

39 W Montauk Hwy Ste 4
Hampton Bays, NY 11946-4094
Phone (631) 728-4030

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

LicenseStateTypeSpecialty
035889NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
B and B Hampton Drugs Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1821312265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W MONTAUK HWY STE 4",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464094",
            "telephone_number": "631-728-4030",
            "fax_number": "631-728-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W MONTAUK HWY STE 4",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464094",
            "telephone_number": "631-728-4030",
            "fax_number": "631-728-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "JUDY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.