Active NPI
Leon Greenbaum, RPH
- Pharmacist
- Tallman, NY
National Provider Identifier
1891026977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030483
- Practice address
- 296 Route 59
Tallman, NY 10982 - Phone
- (845) 368-9700
- Fax
- (845) 368-4056
- NPI assigned
- Jan 29, 2010
- Last updated
- Jan 29, 2010
- Sex
- Male
- 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 | 030483 | NY | Primary |
Addresses
Primary practice location
296 Route 59
Tallman, NY 10982
Mailing address
10 Christie Dr
New City, NY 10956-5405
Phone (845) 368-9700
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 |
|---|---|---|---|
| 030483 | NY | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prescription Center
- Community/Retail Pharmacy
- Tallman, NY
- NPI 1730266875
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": "1264723200000",
"number": "1891026977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHRISTIE DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565405",
"telephone_number": "845-368-9700",
"fax_number": "845-368-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 ROUTE 59",
"city": "TALLMAN",
"state": "NY",
"postal_code": "10982",
"telephone_number": "845-368-9700",
"fax_number": "845-368-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "LEON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "030483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallman, NY
- BC Kare
- Michelle Marie Boyd, RN
- Diabetic & Prescription Center Inc (Prescription Center LTC)
- Diabetic & Prescription Center Inc (Prescription Center)
- Deborah Kaplan Falkow, CLIPP
- Gary Langstein, RPH
- Miriam Leah Linzenberg, LMSW, CASAC
- Nodirakhon Makhkamova
- Richard a Varricchio OD PC
- Caryn Rosen, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.