Active NPI
Rhoda Lin
- Pharmacist
- Deer Park, NY
National Provider Identifier
1831648633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061152
- Practice address
- 1770 Deer Park Ave
Deer Park, NY 11729-5203 - Phone
- (631) 667-7023
- NPI assigned
- Sep 22, 2016
- 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 | 061152 | NY | Primary |
Addresses
Primary practice location
1770 Deer Park Ave
Deer Park, NY 11729-5203
Mailing address
1 Fams CT
Syosset, NY 11791
Phone (516) 455-9789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061152 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreens Boots Alliance | Pharmacist | 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.
-
- Pharmacist
- Syosset, NY
- NPI 1346619889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1831648633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FAMS CT",
"city": "SYOSSET",
"state": "NY",
"postal_code": "11791",
"telephone_number": "516-455-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295203",
"telephone_number": "631-667-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "RHODA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.