Penelope Demetriades, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

022961 Issued in NY

Practice address

65 80TH St
Brooklyn, NY 11209-3511

Phone

(718) 748-2981

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Farmacon Enterprises LTD

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1265443824
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1285959635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094003",
            "telephone_number": "718-238-1090",
            "fax_number": "718-748-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093511",
            "telephone_number": "718-748-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIADES",
        "first_name": "PENELOPE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "022961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHARMACIST REGISTRATION LICENCE",
            "identifier": "022961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telly Lim Demesa, M.D.
• Gabriel Demesmin, PTA
• Danielle Demeter, LMSW
• John D Demetriades
• Penelope Demetriades
• Christina Demetrio
• Brandi Demetriou, CRNA
• Justin Demetrius, PA
• Daria Demidenko
• Diana Demidkin

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.