Individual provider Active NPI

Poseidon H Belitsis, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1053571992
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040630 Issued in NY
Practice address
135 E 125TH St
New York, NY 10035-1614
Phone
(917) 492-3550
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040630 NY Primary

Addresses

Primary practice location

135 E 125TH St
New York, NY 10035-1614

Mailing address

135 E 125TH St
New York, NY 10035-1614
Phone (917) 492-3550

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

LicenseStateTypeSpecialty
040630NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade PastSince Apr 24, 2022 Accepting new patients
Duane Reade 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1053571992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351614",
            "telephone_number": "917-492-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351614",
            "telephone_number": "917-492-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITSIS",
        "first_name": "POSEIDON",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.