Active NPI
Motria Maria Mishko, PHARM.D.
- Pharmacist
- Long Beach, NY
National Provider Identifier
1083939094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044051-1
- Practice address
- 750 Park PL
Long Beach, NY 11561-2110 - Phone
- (516) 536-0800
- NPI assigned
- Apr 1, 2010
- Last updated
- Apr 1, 2010
- 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 | 044051-1 | NY | Primary |
Addresses
Primary practice location
750 Park PL
Long Beach, NY 11561-2110
Mailing address
750 Park Place
Chemrx
Long Beach, NY 11561-2110
Phone (516) 536-0800
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 |
|---|---|---|---|
| 044051-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJK Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1083939094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 PARK PLACE",
"address_2": "CHEMRX",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612110",
"telephone_number": "516-536-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 PARK PL",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612110",
"telephone_number": "516-536-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHKO",
"first_name": "MOTRIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044051-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
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- Julie Minnisch, MS
- Alexandra Mae Miranda, OTRL
- MJS Child Devleopment Specialist Inc.
- Mlap Acquisition I, LLC (Long Beach Nursing and Rehabilitation Center)
- Mlap Acquisition III LLC
- Mlap Acquisition III LLC (Bay Vista Assisted Living)
- Irien Moawad, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.