Active NPI
Dalia E Mekkawy
- Pharmacist
- Shirley, NY
National Provider Identifier
1114523362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065942
- Practice address
- 29 Havenwood Dr
Shirley, NY 11967-3901 - Phone
- (631) 395-4108
- NPI assigned
- Dec 11, 2020
- Last updated
- Dec 25, 2020
- 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 | 065942 | NY | Primary |
Addresses
Primary practice location
29 Havenwood Dr
Shirley, NY 11967-3901
Mailing address
7515 188TH St
Fresh Meadows, NY 11366-1702
Phone (646) 707-1639
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 |
|---|---|---|---|
| 065942 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608854400000",
"number": "1114523362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 188TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661702",
"telephone_number": "646-707-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HAVENWOOD DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119673901",
"telephone_number": "631-395-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKKAWY",
"first_name": "DALIA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-25",
"certification_date": "2020-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.