Individual provider Active NPI

Leonard A Spitale, R.PH.

  • Pharmacist
  • Westbury, NY
National Provider Identifier
1891060455
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033866 Issued in NY
Practice address
1250 Old Country Rd
Costco Pharmacy
Westbury, NY 11590-5624
Phone
(516) 683-8801
Fax
(516) 593-1222
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033866 NY Primary

Addresses

Primary practice location

1250 Old Country Rd
Costco Pharmacy
Westbury, NY 11590-5624

Mailing address

1250 Old Country Rd
Costco Pharmacy
Westbury, NY 11590-5624
Phone (516) 683-8801

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

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1891060455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OLD COUNTRY RD",
            "address_2": "COSTCO PHARMACY",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905624",
            "telephone_number": "516-683-8801",
            "fax_number": "516-593-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OLD COUNTRY RD",
            "address_2": "COSTCO PHARMACY",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905624",
            "telephone_number": "516-683-8801",
            "fax_number": "516-593-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALE",
        "first_name": "LEONARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "033866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.