Jenna M. Eldib, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

068311 Issued in NY

Practice address

180 Fort Washington Ave
New York, NY 10032-3722

Phone

(212) 305-3174

Fax

(212) 305-7692

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1265156830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093403",
            "telephone_number": "646-578-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323722",
            "telephone_number": "212-305-3174",
            "fax_number": "212-305-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIB",
        "first_name": "JENNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R104245800",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Andresakes Elder, MHC
• Joseph David Elder, MA, LMT
• Mary Ellen Elder, LCSW
• Sandra Elder, SANDRA ELDER, MHC-LP
• Elderberry Pharmacy Inc
• Seif Abobakr Mohamed Eldib, RPH
• Marwa Eldik, MD
• Erica Rae Eldon, DO
• Jenna Eldred
• Sophie Sprung Eldred, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.