Individual provider Active NPI

Eli Sdayeb

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1134584758
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060966 Issued in NY
Practice address
6942 Main St
Flushing, NY 11367-1723
Phone
(718) 544-0700
NPI assigned
Dec 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060966 NY Primary

Addresses

Primary practice location

6942 Main St
Flushing, NY 11367-1723

Mailing address

6942 Main St
Flushing, NY 11367-1723
Phone (718) 544-0700

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

LicenseStateTypeSpecialty
060966NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Med LLC. CurrentSince Jun 29, 2025 Accepting new patients

Locations

6942 Main St
Flushing, NY 11367
Phone (718) 544-0700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1134584758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671723",
            "telephone_number": "718-544-0700",
            "fax_number": "718-544-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671723",
            "telephone_number": "718-544-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SDAYEB",
        "first_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-25",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.