Active NPI
Rijo George
- Pharmacist
- North Merrick, NY
National Provider Identifier
1003407222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1063916-01
- Practice address
- 1634 N Jerusalem Rd
North Merrick, NY 11566-1234 - Phone
- (516) 509-5337
- NPI assigned
- Jan 30, 2021
- Sex
- Female
- 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 | 1063916-01 | NY | Primary |
Addresses
Primary practice location
1634 N Jerusalem Rd
North Merrick, NY 11566-1234
Mailing address
1634 N Jerusalem Rd
North Merrick, NY 11566-1234
Phone (516) 509-9435
Other practice location 1
1634 N Jerusalem Rd
North Merrick, NY 11566-1234
Phone (516) 509-5337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063916-01 | Other | NY | PHARMACIST LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BayShore | Health Information Exchange (HIE) | |
| CONNECT URL | BayShore | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 1063916-01 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611964800000",
"number": "1003407222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 N JERUSALEM RD",
"city": "NORTH MERRICK",
"state": "NY",
"postal_code": "115661234",
"telephone_number": "516-509-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 N JERUSALEM RD",
"city": "NORTH MERRICK",
"state": "NY",
"postal_code": "115661234",
"telephone_number": "516-509-5337"
}
],
"practiceLocations": [
{
"address_1": "1634 N Jerusalem Rd",
"address_purpose": "LOCATION",
"city": "North Merrick",
"state": "NY",
"postal_code": "115661234",
"country_code": "US",
"telephone_number": "516-509-5337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "RIJO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2021-01-30",
"certification_date": "2021-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "1063916-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "1063916-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BayShore",
"affiliation": "N",
"endpointDescription": "northwell.edu",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 E Main St",
"city": "Bay Shore",
"state": "NY",
"country_code": "US",
"postal_code": "117068408",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "BayShore",
"affiliation": "N",
"endpointDescription": "northwell.edu",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 E Main St",
"city": "Bay Shore",
"state": "NY",
"country_code": "US",
"postal_code": "117068408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.