Active NPI
Jael N Flakwah, PHARMD
- Pharmacist
- Valhalla, NY
National Provider Identifier
1275113862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I067632-01
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (845) 694-9242
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04140000 | NJ | |
| Pharmacist | 183500000X | PCT.0015481 | CT | |
| Pharmacist | 183500000X | I067632-01 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
202 S Highland Ave
Ossining, NY 10562-6106
Phone (845) 694-9242
Other practice location 1
1 Lunney Ct Apt 204
Spring Valley, NY 10977-6060
Phone (845) 694-9242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I067632-01 | Other | NY | NYS PHARMACIST |
| PCT.0015481 | Other | CT | CT |
| 28RI04140000 | Other | NJ | NJ |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0015481 | CT | MD | Pharmacist |
| 28RI04140000 | NJ | MD | Pharmacist |
| I067632-01 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophie's Health Care Services, Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Suffern, NY
- NPI 1124217294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1275113862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S HIGHLAND AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105626106",
"telephone_number": "845-694-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "845-694-9242"
}
],
"practiceLocations": [
{
"address_1": "1 Lunney Ct Apt 204",
"address_purpose": "LOCATION",
"city": "Spring Valley",
"state": "NY",
"postal_code": "109776060",
"country_code": "US",
"telephone_number": "845-694-9242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAKWAH",
"first_name": "JAEL",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04140000",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015481",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I067632-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACIST",
"identifier": "I067632-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT",
"identifier": "PCT.0015481",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ",
"identifier": "28RI04140000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.