Individual provider Active NPI

Nicole V Leung, R.PH.

  • Pharmacist
  • Stony Point, NY
National Provider Identifier
1902187925
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046019 Issued in NY
Practice address
135 S Liberty Dr
Stony Point, NY 10980-2422
Phone
(845) 786-2063
Fax
(845) 429-5379
NPI assigned
Sep 3, 2011
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02509000 NJ
Pharmacist 183500000X 046019 NY Primary

Addresses

Primary practice location

135 S Liberty Dr
Stony Point, NY 10980-2422

Mailing address

135 S Liberty Dr
Stony Point, NY 10980-2422
Phone (845) 786-2063

Other names 1

  • Nicole V Nonato Professional name

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

LicenseStateTypeSpecialty
28RI02509000NJMDPharmacist
046019NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 29, 2023 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Jan 29, 2023 Accepting new patients

Locations

135 S Liberty Dr
Stony Point, NY 10980
Phone (845) 786-2063

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1902187925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S LIBERTY DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802422",
            "telephone_number": "845-786-2063",
            "fax_number": "845-429-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S LIBERTY DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802422",
            "telephone_number": "845-786-2063",
            "fax_number": "845-429-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "NICOLE",
        "middle_name": "V",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02509000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NONATO",
            "middle_name": "V",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stony Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; 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.