Individual provider Active NPI

Rijo George

  • Pharmacist
  • North Merrick, NY
National Provider Identifier
1003407222
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1063916-01 Issued in NY
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

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063916-01OtherNYPHARMACIST LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1063916-01NYMDPharmacist

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.

Verify at the official NPI Registry.