Individual provider Active NPI

Ronald R Goldstein, BS PHARM

  • Pharmacist
  • Farmingville, NY
National Provider Identifier
1851571103
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027457 Issued in NY
Practice address
371 Horseblock Rd
Farmingville, NY 11738-1203
Phone
(631) 698-2900
Fax
(631) 698-8215
NPI assigned
Nov 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 027457 NY Primary

Addresses

Primary practice location

371 Horseblock Rd
Farmingville, NY 11738-1203

Mailing address

371 Horseblock Rd
Farmingville, NY 11738-1203
Phone (631) 698-2900

Other identifiers 1

IdentifierTypeStateIssuer
18MedicaidNY

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
Bachelor of Science, Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Genovese Drug Stores Inc Past Accepting new patients
Genovese Drug Stores Inc Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1851571103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381203",
            "telephone_number": "631-698-2900",
            "fax_number": "631-698-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381203",
            "telephone_number": "631-698-2900",
            "fax_number": "631-698-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "RONALD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; 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.