Individual provider Active NPI

Leon Kirszenbaum

  • Pharmacist
  • Easton, MD
National Provider Identifier
1972903623
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09366 Issued in MD
Practice address
8290 Ocean Gtwy
Easton, MD 21601-7146
Phone
(410) 763-6501
Fax
(410) 176-3650
NPI assigned
Aug 31, 2014
Last updated
Aug 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09366 MD Primary

Addresses

Primary practice location

8290 Ocean Gtwy
Easton, MD 21601-7146

Mailing address

8290 Ocean Gateway
Easton, MD 21601
Phone (410) 763-6501

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

State licenses

LicenseStateTypeSpecialty
09366MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1972903623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 OCEAN GATEWAY",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-763-6501",
            "fax_number": "410-176-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 OCEAN GTWY",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017146",
            "telephone_number": "410-763-6501",
            "fax_number": "410-176-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSZENBAUM",
        "first_name": "LEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.