Individual provider Active NPI

Stephanie Komal, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1184043713
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I058978 Issued in NY
Practice address
315 North End Ave
New York, NY 10282
Phone
(212) 945-4450
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I058978 NY Primary

Addresses

Primary practice location

315 North End Ave
New York, NY 10282

Mailing address

315 N End Ave
New York, NY 10282-1023
Phone (212) 945-4450

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
I058978NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade CurrentSince Feb 13, 2022 Accepting new patients
Duane Reade PastSince Nov 21, 2021 Accepting new patients

Locations

315 N End Ave
New York, NY 10282
Phone (212) 945-4450

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1184043713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102821023",
            "telephone_number": "212-945-4450",
            "fax_number": "212-945-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORTH END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10282",
            "telephone_number": "212-945-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAL",
        "first_name": "STEPHANIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I058978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.