Individual provider Active NPI

Emmanuel Kipkosgei Sitienei, PHARMACIST

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1073828844
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054977 Issued in NY
Practice address
2750 Boston Rd
Bronx, NY 10469-4127
Phone
(718) 405-2127
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 054977 NY Primary

Addresses

Primary practice location

2750 Boston Rd
Bronx, NY 10469-4127

Mailing address

17269 Highland Ave
Apt 3a
Jamaica, NY 11432-2878
Phone (646) 262-1597

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

LicenseStateTypeSpecialty
054977NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1073828844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17269 HIGHLAND AVE",
            "address_2": "APT 3A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322878",
            "telephone_number": "646-262-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694127",
            "telephone_number": "718-405-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITIENEI",
        "first_name": "EMMANUEL",
        "middle_name": "KIPKOSGEI",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.