Active NPI
Adelso Fernandez, R.PH.
- Pharmacist
- New York, NY
National Provider Identifier
1255455739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047890
- Practice address
- 232 Sherman Ave Ste a
New York, NY 10034-2503 - Phone
- (212) 567-1115
- Fax
- (212) 567-1991
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047890 | NY | Primary |
| Pharmacist | 183500000X | RPH023992 | GA |
Addresses
Primary practice location
232 Sherman Ave Ste a
New York, NY 10034-2503
Mailing address
232 Sherman Ave Ste a
New York, NY 10034-2503
Phone (212) 567-1115
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 |
|---|---|---|---|
| RPH023992 | GA | MD | Pharmacist |
| 047890 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1255455739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 SHERMAN AVE STE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342503",
"telephone_number": "212-567-1115",
"fax_number": "212-567-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 SHERMAN AVE STE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100342503",
"telephone_number": "212-567-1115",
"fax_number": "212-567-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ADELSO",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047890",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023992",
"primary": false
}
],
"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 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.