Active NPI
Samuel A. Joseph, RPH
- Pharmacist
- North Babylon, NY
National Provider Identifier
1891026910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28499
- Practice address
- 300 Bay Shore Rd
North Babylon, NY 11703-2823 - Phone
- (631) 586-8600
- Fax
- (631) 586-0039
- NPI assigned
- Jan 29, 2010
- Last updated
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 28499 | NY | Primary |
Addresses
Primary practice location
300 Bay Shore Rd
North Babylon, NY 11703-2823
Mailing address
1483 Denver Ave
Bay Shore, NY 11706-4540
Phone (631) 968-5591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303634433 | Other | NY | DRIVER LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28499 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1891026910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 DENVER AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117064540",
"telephone_number": "631-968-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAY SHORE RD",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032823",
"telephone_number": "631-586-8600",
"fax_number": "631-586-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SAMUEL",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "28499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "303634433",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.