Joanne Marie Gornail

Primary specialty

PharmacistTaxonomy code 183500000X

License

040512 Issued in NY

Practice address

21939 89TH Ave
Queens Village, NY 11427-2518

Phone

(718) 479-3774

Fax

(718) 479-7066

NPI assigned

Jul 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joanne Marie Shaban Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CVS Albany LLC

  • Pharmacy
  • Queens Village, NY
  • NPI 1902900665
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1215192430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21939 89TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272518",
            "telephone_number": "718-479-3774",
            "fax_number": "718-479-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21939 89TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272518",
            "telephone_number": "718-479-3774",
            "fax_number": "718-479-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNAIL",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "SHABAN",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Good Options Psychological Services, P.C.
• Sharon Goodridge, OTR
• Jini Gopinathan, RPH
• Karen Gordon, PSY.D.
• Elizabeth Gormezano
• Julie Gottlieb, OTR/L
• Keisha Grannum
• Carey D Gray
• Malikah Gray, RN
• Christine Greaves

• Pharmacist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.