Active NPI
Jared Kaufman, PHARMD
- Pharmacist
- Commack, NY
National Provider Identifier
1962396457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 072138
- Practice address
- 5001 Jericho Tpke
Commack, NY 11725-2842 - Phone
- (631) 858-0408
- NPI assigned
- Jun 7, 2025
- Last updated
- Jun 7, 2025
- 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 | 072138 | NY | Primary |
Addresses
Primary practice location
5001 Jericho Tpke
Commack, NY 11725-2842
Mailing address
17 Ernest CT
Kings Park, NY 11754-5020
Phone (631) 896-0035
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5001 Jericho Tpke
Commack, NY 11725
Phone (631) 858-0408
Organizations & group practices 2
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": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749254400000",
"number": "1962396457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ERNEST CT",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117545020",
"telephone_number": "631-896-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 JERICHO TPKE",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252842",
"telephone_number": "631-858-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "JARED",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-07",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "072138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.