Active NPI
Ebony Rhem, RPH
- Pharmacist
- Queens Village, NY
National Provider Identifier
1093250219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237184
- Practice address
- 10962 Francis Lewis Blvd
Queens Village, NY 11429-1723 - Phone
- (718) 740-4612
- Fax
- (718) 740-0407
- NPI assigned
- Dec 23, 2016
- Last updated
- Sep 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH237184 | MA | Primary |
| Pharmacist | 183500000X | 065114 | NY |
Addresses
Primary practice location
10962 Francis Lewis Blvd
Queens Village, NY 11429-1723
Mailing address
11 Bentley Rd
Amityville, NY 11701-1703
Phone (718) 548-5884
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 |
|---|---|---|---|
| PH237184 | MA | MD | Pharmacist |
| 065114 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
10962 Francis Lewis Blvd
Queens Village, NY 11429
Phone (718) 740-4612
Organizations & group practices 4
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": "1482451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1093250219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BENTLEY RD",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117011703",
"telephone_number": "718-548-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10962 FRANCIS LEWIS BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114291723",
"telephone_number": "718-740-4612",
"fax_number": "718-740-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEM",
"first_name": "EBONY",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-23",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237184",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065114",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.