Individual provider Active NPI

Marina Christodoulou, RPH

  • Pharmacist
  • Jamaica, NY
National Provider Identifier
1285935684
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044532 Issued in NY
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

Updated by the provider on Nov 16, 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 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

LicenseStateTypeSpecialty
044532NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.