Active NPI
Ira P Lisogorsky
- Pharmacist
- Richmond Hill, NY
National Provider Identifier
1992881114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029249
- Practice address
- 11607 Metropolitan Ave
Metropolitan Pharmacy
Richmond Hill, NY 11418 - Phone
- (718) 441-2345
- Fax
- (718) 441-2424
- NPI assigned
- Oct 31, 2006
- 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 | 029249 | NY | Primary |
Addresses
Primary practice location
11607 Metropolitan Ave
Metropolitan Pharmacy
Richmond Hill, NY 11418
Mailing address
28 Pembroke Drive
N Massapequa, NY 11758
Phone (718) 441-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29249 | Other | NY | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029249 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eppy Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Kew Gardens, NY
- NPI 1407854623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992881114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PEMBROKE DRIVE",
"city": "N MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "718-441-2345",
"fax_number": "718-441-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11607 METROPOLITAN AVE",
"address_2": "METROPOLITAN PHARMACY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "11418",
"telephone_number": "718-441-2345",
"fax_number": "718-441-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISOGORSKY",
"first_name": "IRA",
"middle_name": "P",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "29249",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.