Active NPI
Eleni Mastromihalis, PHARMD
- Pharmacist
- Long Island City, NY
National Provider Identifier
1275794208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051535
- Practice address
- 4702 5TH St
Long Island City, NY 11101-5411 - Phone
- (718) 472-3600
- Fax
- (718) 361-5893
- NPI assigned
- Jun 23, 2008
- Last updated
- Sep 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051535 | NY | Primary |
Addresses
Primary practice location
4702 5TH St
Long Island City, NY 11101-5411
Mailing address
4702 5TH St
Long Island City, NY 11101-5411
Phone (718) 472-3600
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 |
|---|---|---|---|
| 051535 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1275794208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 5TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015411",
"telephone_number": "718-472-3600",
"fax_number": "718-361-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 5TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015411",
"telephone_number": "718-472-3600",
"fax_number": "718-361-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROMIHALIS",
"first_name": "ELENI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.