Active NPI
Peggy Varghese
- Pharmacist
- New Hyde Park, NY
National Provider Identifier
1114416377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063904
- Practice address
- 43 Rose LN
New Hyde Park, NY 11040-1965 - Phone
- (516) 643-0132
- NPI assigned
- May 3, 2018
- Last updated
- May 3, 2018
- 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 | 063904 | NY | Primary |
Addresses
Primary practice location
43 Rose LN
New Hyde Park, NY 11040-1965
Mailing address
43 Rose LN
New Hyde Park, NY 11040-1965
Phone (516) 643-0132
Other practice location 1
8345 Langdale St
New Hyde Park, NY 11040-1822
Phone (718) 470-0208
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
| License | State | Type | Specialty |
|---|---|---|---|
| 063904 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1114416377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 ROSE LN",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401965",
"telephone_number": "516-643-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 ROSE LN",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401965",
"telephone_number": "516-643-0132"
}
],
"practiceLocations": [
{
"address_1": "8345 Langdale St",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401822",
"country_code": "US",
"telephone_number": "718-470-0208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "PEGGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.