Individual provider Active NPI

Sotiria Amigdalos, R.PH.

  • Geriatric Pharmacist
  • Garden City, NY
National Provider Identifier
1265587547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
041166-1 Issued in NY
Practice address
1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691
Phone
(516) 512-8958
Fax
(516) 908-4353
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 041166-1 NY Primary

Addresses

Primary practice location

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691

Mailing address

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691
Phone (516) 512-8958

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

LicenseStateTypeSpecialty
041166-1NYMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265587547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FRANKLIN AVE",
            "address_2": "SUITE 325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301691",
            "telephone_number": "516-512-8958",
            "fax_number": "516-908-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FRANKLIN AVE",
            "address_2": "SUITE 325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301691",
            "telephone_number": "516-512-8958",
            "fax_number": "516-908-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIGDALOS",
        "first_name": "SOTIRIA",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "041166-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.