Active NPI
Monica Gouda
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1003570375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068312
- Practice address
- 1517 Cortelyou Rd
Brooklyn, NY 11226-5607 - Phone
- (718) 287-9078
- NPI assigned
- Oct 23, 2021
- Last updated
- Oct 23, 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 | 068312 | NY | Primary |
Addresses
Primary practice location
1517 Cortelyou Rd
Brooklyn, NY 11226-5607
Mailing address
PO Box 30676
Staten Island, NY 10303-0676
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 |
|---|---|---|---|
| 068312 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Current | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Locations
1517 Cortelyou Rd
Brooklyn, NY 11226
Phone (718) 287-9078
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1003570375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30676",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103030676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 CORTELYOU RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265607",
"telephone_number": "718-287-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUDA",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-23",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.