Jonathan Constantin Ilie-Melas, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

067716 Issued in NY

Practice address

2354 White Oak CT Apt 2
East Elmhurst, NY 11370-1541

Phone

(718) 637-7975

NPI assigned

Mar 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1114502846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 WHITE OAK CT APT 2",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701541",
            "telephone_number": "718-637-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 WHITE OAK CT APT 2",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701541",
            "telephone_number": "718-637-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIE-MELAS",
        "first_name": "JONATHAN",
        "middle_name": "CONSTANTIN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.