Demos Stefanou

Primary specialty

PharmacistTaxonomy code 183500000X

License

039112 Issued in NY

Practice address

4250 Jerusalem Ave
Massapequa, NY 11758-3315

Phone

(516) 798-7523

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1255663068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BALTIMORE AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583827",
            "telephone_number": "516-797-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 JERUSALEM AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583315",
            "telephone_number": "516-798-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOU",
        "first_name": "DEMOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.