Individual provider · Type 1 NPI

Jesse Lawton Goldberg, PharmD

Pharmacist · Staten Island, NY

NPI number 1114301538 Active

Practice location

812 Forest Ave
Staten Island, NY 10310-2446

Call (718) 720-3700 Map

Fax (718) 720-5286

Mailing address

812 Forest Avenue
Staten Island, NY 10310

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	059923 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1114301538

Jesse Lawton Goldberg, PharmD's National Provider Identifier is 1114301538, issued on Jul 15, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 15, 2015.