Active NPI
Jessica Joy Balaoro, PHARMD
- Pharmacist
- Long Island City, NY
National Provider Identifier
1114627841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067727
- Practice address
- 2529 44TH Dr
Long Island City, NY 11101-4202 - Phone
- (718) 736-2200
- NPI assigned
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 067727 | NY | Primary |
Addresses
Primary practice location
2529 44TH Dr
Long Island City, NY 11101-4202
Mailing address
2529 44TH Dr
Long Island City, NY 11101-4202
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 |
|---|---|---|---|
| 067727 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nyco Chemists V Inc | Current | Accepting new patients |
Locations
2529 44th Dr
Long Island City, NY 11101
Phone (718) 736-2200
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": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1114627841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 44TH DR",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 44TH DR",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014202",
"telephone_number": "718-736-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAORO",
"first_name": "JESSICA JOY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.