Individual provider Active NPI

Adelina Havesi, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1184800872
Registry record updated Jan 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051480 Issued in NY
Practice address
1052 1St Ave
New York, NY 10022-2904
Phone
(646) 282-0530
NPI assigned
Jan 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051480 NY Primary

Addresses

Primary practice location

1052 1St Ave
New York, NY 10022-2904

Mailing address

11043 70TH Rd
Forest Hills, NY 11375-3933
Phone (917) 734-9580

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
051480NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade Past Accepting new patients
Duane Reade Past Accepting new patients

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": "1200182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200182400000",
    "number": "1184800872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11043 70TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753933",
            "telephone_number": "917-734-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222904",
            "telephone_number": "646-282-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVESI",
        "first_name": "ADELINA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-13",
        "last_updated": "2008-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051480",
            "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 Jan 13, 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.

Verify at the official NPI Registry.