Active NPI
Marina Christodoulou, RPH
- Pharmacist
- Jamaica, NY
National Provider Identifier
1285935684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044532
- Practice address
- 19718 Hillside Ave
Jamaica, NY 11423-2127 - Phone
- (718) 464-2400
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 044532 | NY | Primary |
Addresses
Primary practice location
19718 Hillside Ave
Jamaica, NY 11423-2127
Mailing address
2601 25TH Rd FL 2
Astoria, NY 11102-2304
Phone (718) 216-1360
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
| License | State | Type | Specialty |
|---|---|---|---|
| 044532 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescription and Vitamin Warehouse Inc. | Past | 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.
-
- Pharmacy
- Jamaica, NY
- NPI 1275525081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1285935684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 25TH RD FL 2",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022304",
"telephone_number": "718-216-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19718 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114232127",
"telephone_number": "718-464-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTODOULOU",
"first_name": "MARINA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.