Individual provider Active NPI

Konstantina Passalaris Varsou, RPH

  • Pharmacist
  • Mount Vernon, NY
National Provider Identifier
1275856635
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042437 Issued in NY
Practice address
500 E Sandford Blvd
Mount Vernon, NY 10550-4750
Phone
(914) 530-3001
Fax
(914) 530-3001
NPI assigned
Mar 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042437 NY Primary

Addresses

Primary practice location

500 E Sandford Blvd
Mount Vernon, NY 10550-4750

Mailing address

500 E Sandford Blvd
Mount Vernon, NY 10550-4750
Phone (914) 530-3001

Other names 1

  • Mrs. Konstantina Varsou Professional name

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
042437NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1275856635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504750",
            "telephone_number": "914-530-3001",
            "fax_number": "914-530-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E SANDFORD BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504750",
            "telephone_number": "914-530-3001",
            "fax_number": "914-530-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARSOU",
        "first_name": "KONSTANTINA",
        "middle_name": "PASSALARIS",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KONSTANTINA",
            "last_name": "VARSOU",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.