Individual provider Active NPI

Linda Marie Mongelli

  • Pharmacotherapy Pharmacist
  • Katonah, NY
National Provider Identifier
1164746830
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
035541-1 Issued in NY
Practice address
294 Katonah Ave
Katonah, NY 10536-2148
Phone
(914) 232-3200
Fax
(914) 232-3505
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 035541-1 NY Primary

Addresses

Primary practice location

294 Katonah Ave
Katonah, NY 10536-2148

Mailing address

294 Katonah Ave
Katonah, NY 10536-2148
Phone (914) 232-3200

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
035541-1NYMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1164746830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362148",
            "telephone_number": "914-232-3200",
            "fax_number": "914-232-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362148",
            "telephone_number": "914-232-3200",
            "fax_number": "914-232-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGELLI",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "035541-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.