Active NPI
Onisis Stefas, PHARM.D
- Pharmacist
- Farmingdale, NY
National Provider Identifier
1306023254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048773
- Practice address
- 100 Willow Park Center
Target Store T-1866
Farmingdale, NY 11735 - Phone
- (631) 962-0271
- Fax
- (631) 962-0271
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- 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 | 048773 | NY | Primary |
Addresses
Primary practice location
100 Willow Park Center
Target Store T-1866
Farmingdale, NY 11735
Mailing address
100 Willow Park Center
Target Store T-1866
Farmingdale, NY 11735
Phone (631) 962-0271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02334701 | Medicaid | NY |
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 |
|---|---|---|---|
| 048773 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1306023254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILLOW PARK CENTER",
"address_2": "TARGET STORE T-1866",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "631-962-0271",
"fax_number": "631-962-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILLOW PARK CENTER",
"address_2": "TARGET STORE T-1866",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "631-962-0271",
"fax_number": "631-962-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFAS",
"first_name": "ONISIS",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02334701",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.