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Robert L Spivack , RPH

Pharmacist β€’ Brooklyn, NY

Active NPI 1497923379 Individual Practitioner Male Practitioner
Practice location in NPPES

625 Atlantic Ave
Brooklyn, NY 112172169

Call 7183996239 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 Atlantic Ave

Brooklyn, NY 112172169

Telephone 7183996239
Organization at the Same NPPES Address or Phone
Pathmark Stores Inc Facility NPI 1871690636

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brooklyn and New York

2,785 active clinicians are listed under Pharmacist with a practice address in Brooklyn, NY (23,170 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brooklyn

0% of these 2,785 clinicians have the CMS telehealth indicator.

0% of these 2,785 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NY 036248

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NJ 28RI01962500

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License Number
036248 (NY)
Other Identifier State License Number
28RI01962500 (NJ)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Business Mailing Address March 18, 2025

Registered at 625 ATLANTIC AVE, BROOKLYN, NY 112172169 (Tel: 9738120371)

πŸ“
Updated Practice Location March 07, 2025

Registered at 625 ATLANTIC AVE, BROOKLYN, NY 112172169 (Tel: 7183996239)

βœ…
NPI Profile Active March 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 18, 2017

Registered at 5 CEDARWOOD TER, WOODLAND PARK, NJ 074243708 (Tel: 7183996239)

πŸ“
Updated Business Mailing Address March 18, 2017

Registered at 5 CEDARWOOD TER, WOODLAND PARK, NJ 074243708

πŸ‘€
Provider Name / Credentials Updated March 18, 2017

Recorded as ROBERT SPIVACK, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2017

Pharmacist (license number reported to NPPES: NJ 28RI01962500)

βœ…
NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 28, 2016

Registered at 625 ATLANTIC AVE, PATHMARK, BROOKLYN, NY 112172169 (Tel: 7183996239)

πŸ“
Business Mailing Address (Initial Record) April 28, 2016

Registered at 5 CEDARWOOD TER, WOODLAND PARK, NJ 074243708

πŸ‘€
Provider Name / Credentials (Initial Record) April 28, 2016

Recorded as ROBERT SPIVACK, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Pharmacist (license number reported to NPPES: NY 036248)

🟒
Initial NPI Registration & Enumeration February 13, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497923379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2008
Last Update: March 18, 2025
Sole Proprietor: No

Other Pharmacists in Brooklyn

All Pharmacists in Brooklyn

Mailing Address

625 Atlantic Ave

Brooklyn, NY 112172169

Phone: 9738120371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.