Active NPI
Catherine Decola, RPH
- Pharmacist
- East Elmhurst, NY
National Provider Identifier
1023131992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048121
- Practice address
- 7575 31St Ave
East Elmhurst, NY 11370-1811 - Phone
- (718) 478-5703
- Fax
- (718) 803-2769
- NPI assigned
- Apr 7, 2007
- Last updated
- Dec 17, 2007
- 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 | 048121 | NY | Primary |
Addresses
Primary practice location
7575 31St Ave
East Elmhurst, NY 11370-1811
Mailing address
75-75 31St Ave
East Elmhurst, NY 11372
Phone (718) 478-5703
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048121 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1023131992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-75 31ST AVE",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-478-5703",
"fax_number": "718-803-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 31ST AVE",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701811",
"telephone_number": "718-478-5703",
"fax_number": "718-803-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOLA",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.