Individual provider Active NPI

Jason Pabon

  • Pharmacist
  • Putnam Valley, NY
National Provider Identifier
1851613608
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044597 Issued in NY
Practice address
11 Peekskill Hollow Rd
Putnam Valley, NY 10579-3200
Phone
(845) 528-6400
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 044597 NY Primary

Addresses

Primary practice location

11 Peekskill Hollow Rd
Putnam Valley, NY 10579-3200

Mailing address

3030 Knollwood Court
Mohegan Lake, NY 10547
Phone (914) 528-7568

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

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1851613608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 KNOLLWOOD COURT",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "10547",
            "telephone_number": "914-528-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-528-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.