Christina Ardelian, PHARMD
Individual provider Active NPI Pharmacist · Howard Beach, NY
NPI 1124665419 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1124665419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 064208 (NY)
- Practice address
- 158-19 90TH Street
Howard Beach, NY 11414 - Phone
- (917) 675-2396
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064208 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Current |
Accepting new patients | |
| Genoa Healthcare LLC | Past |
Accepting new patients |
Locations
9114 37th Ave
Ste E
Jackson Heights, NY 11372
Phone (718) 340-3658
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064208 | NY | Yes |
Addresses
Primary practice location
158-19 90TH Street
Howard Beach, NY 11414
Mailing address
9114 37TH Ave Ste E
Jackson Heights, NY 11372-7920
Phone (718) 340-3658
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.