Active NPI
Lisa Ann Mason
- Pharmacist
- Troy, NY
National Provider Identifier
1861675696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035287
- Practice address
- 863 2ND Ave
Troy, NY 12182-1901 - Phone
- (518) 235-5530
- NPI assigned
- Dec 15, 2007
- 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 | 035287 | NY | Primary |
Addresses
Primary practice location
863 2ND Ave
Troy, NY 12182-1901
Mailing address
12 Mallards LNDG N
Waterford, NY 12188-1046
Phone (518) 237-3063
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 |
|---|---|---|---|
| 035287 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197676800000",
"number": "1861675696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MALLARDS LNDG N",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121881046",
"telephone_number": "518-237-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 2ND AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121821901",
"telephone_number": "518-235-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "LISA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-15",
"last_updated": "2007-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.