MEDICARE: MR. JOHN N. LIPARI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS28375	FL
2	183500000X	Pharmacist	28RI02292100	NJ
3	183500000X	Pharmacist	042311	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043484058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN N. LIPARI RPH

Provider Business Mailing Address
First Line	:	3610 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5197
Country	:	US
Telephone Number	:	718-891-3447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 NOSTRAND AVE
Second Line	:	C/O KINGS BAY CHEMISTS
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5203
Country	:	US
Telephone Number	:	718-891-3447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	07/08/2020

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