Active NPI
Yvanne D Martelly, BS
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1013230986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041815
- Practice address
- 10002 Queens Blvd
Forest Hills, NY 11375-2748 - Phone
- (718) 520-2334
- Fax
- (718) 268-9680
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 041815 | NY | Primary |
Addresses
Primary practice location
10002 Queens Blvd
Forest Hills, NY 11375-2748
Mailing address
100 Warwick Rd
Elmont, NY 11003-1429
Phone (516) 448-2110
Other names 1
- Marie Yvanne D Martelly
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1013230986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WARWICK RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031429",
"telephone_number": "516-448-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10002 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752748",
"telephone_number": "718-520-2334",
"fax_number": "718-268-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELLY",
"first_name": "YVANNE",
"middle_name": "D",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE YVANNE",
"last_name": "MARTELLY",
"middle_name": "D",
"credential": "BS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.