George Angelopoulos, PHARM.D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

040973-1 Issued in NY

Practice address

64 Indian Head Rd
Kings Park, NY 11754-3703

Phone

(631) 663-3800

Fax

(631) 663-3799

NPI assigned

Nov 19, 2011

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Sai Siva Pharmacy LLC

  • Community/Retail Pharmacy
  • Kings Park, NY
  • NPI 1881222164
  NPD
• KFP Corp

  • Community/Retail Pharmacy
  • Kings Park, NY
  • NPI 1114319894
  NPD (past)

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1265709265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROOSEVELT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-886-2844",
            "fax_number": "631-886-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 INDIAN HEAD RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543703",
            "telephone_number": "631-663-3800",
            "fax_number": "631-663-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Sesame St",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117542835",
            "country_code": "US",
            "telephone_number": "316-979-2792",
            "fax_number": "631-724-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELOPOULOS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "040973-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "040973-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Adragna
• Robin Alexander, CASAC-T
• Evcan Alptekin, MD
• Am Acupuncture & Massage PC
• Amir Herman D.O. P.C.
• Annmarie Kreischer
• Mark Vernon Applewhite, NY STATE LCSW-R
• Aristilde Psychological Services, PLLC
• Marie Virgine Aristilde, PSYD
• Sharwan K Bagla, MD

• All providers in Kings Park, NY
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.