Active NPI
Odaie Noofan Menwer, PHARMD
- Pharmacist
- Merrick, NY
National Provider Identifier
1053058842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069031
- Practice address
- 2151 Johnston PL
Merrick, NY 11566-3608 - Phone
- (516) 378-2400
- NPI assigned
- May 13, 2022
- Last updated
- May 13, 2022
- Sex
- Male
- 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 | 069031 | NY | Primary |
Addresses
Primary practice location
2151 Johnston PL
Merrick, NY 11566-3608
Mailing address
1742 Chaladay LN
East Meadow, NY 11554-4917
Phone (218) 790-3632
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069031 | NY | MD | Pharmacist |
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": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1053058842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 CHALADAY LN",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115544917",
"telephone_number": "218-790-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 JOHNSTON PL",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663608",
"telephone_number": "516-378-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENWER",
"first_name": "ODAIE",
"middle_name": "NOOFAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
- John P Melinski, D.M.D
- Jennifer B Melnick, LCSW-R
- Heather Meltzer Tocci, BS
- Francine Mendelowitz, LCSW
- Marissa Mendelsohn, LMHC
- Merrick Apothecary Corp. (Long Island Apothecary)
- Merrick Dental Care
- Merrick Dermatology PC
- Merrick Drugs Inc. (the medicine shoppe)
- Merrick Family Practice Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.