Individual provider Active NPI

Laura Veronica Kazukenus, PHARMD

  • Pharmacist
  • Peekskill, NY
National Provider Identifier
1881189769
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063919 Issued in NY
Practice address
1107 Main St
Peekskill, NY 10566-2907
NPI assigned
Jun 24, 2018
Last updated
Jun 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH237974 MA
Pharmacist 183500000X 063919 NY Primary

Addresses

Primary practice location

1107 Main St
Peekskill, NY 10566-2907

Mailing address

36 Cartwheel Dr
Scotia, NY 12302-3028
Phone (518) 669-2219

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
063919NYMDGeneral Practice Dentistry
PH237974MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529798400000",
    "number": "1881189769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARTWHEEL DR",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023028",
            "telephone_number": "518-669-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZUKENUS",
        "first_name": "LAURA",
        "middle_name": "VERONICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH237974",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; 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.