Active NPI
Constantina Giannoutsos, RPH
- Pharmacist
- Whitestone, NY
National Provider Identifier
1154508133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038690
- Practice address
- 15114 19TH Ave
Whitestone, NY 11357-3104 - Phone
- (718) 746-4534
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 22, 2008
- 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 | 038690 | NY | Primary |
Addresses
Primary practice location
15114 19TH Ave
Whitestone, NY 11357-3104
Mailing address
15114 19TH Ave
Whitestone, NY 11357-3104
Phone (718) 746-4534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038690 | Other | NY | PHARMACY LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038690 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelvov, Inc | Current | Accepting new patients |
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": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1154508133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15114 19TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573104",
"telephone_number": "718-746-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15114 19TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573104",
"telephone_number": "718-746-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNOUTSOS",
"first_name": "CONSTANTINA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "038690",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.