Active NPI
Jason Lam, RPH
- Pharmacist
- Corona, NY
National Provider Identifier
1932578804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060564
- Practice address
- 10936 Corona Ave FL 2
Corona, NY 11368-3958 - Phone
- (914) 885-4041
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 21, 2015
- 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 | 060564 | NY | Primary |
Addresses
Primary practice location
10936 Corona Ave FL 2
Corona, NY 11368-3958
Mailing address
10936 Corona Ave FL 2
Corona, NY 11368-3958
Phone (914) 885-4041
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 |
|---|---|---|---|
| 060564 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1932578804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10936 CORONA AVE FL 2",
"city": "CORONA",
"state": "NY",
"postal_code": "113683958",
"telephone_number": "914-885-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10936 CORONA AVE FL 2",
"city": "CORONA",
"state": "NY",
"postal_code": "113683958",
"telephone_number": "914-885-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JASON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.