Active NPI
Elizabeth C Phalen
- Pharmacist
- Rye Brook, NY
National Provider Identifier
1124341490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043055
- Practice address
- 182 S Ridge St
Rye Brook, NY 10573-2813 - Phone
- (914) 934-9619
- NPI assigned
- Mar 1, 2010
- Last updated
- Mar 1, 2010
- 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 | 043055 | NY | Primary |
Addresses
Primary practice location
182 S Ridge St
Rye Brook, NY 10573-2813
Mailing address
182 South Rigde St
Rye Brook, NY 10573-2813
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 |
|---|---|---|---|
| 043055 | 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": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1124341490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 SOUTH RIGDE ST",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105732813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 S RIDGE ST",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105732813",
"telephone_number": "914-934-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALEN",
"first_name": "ELIZABETH",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.