Nicole Marie Maisch, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

046942 Issued in NY

Practice address

8000 Utopia Parkway
St. Albert Hall Room 114
Queens, NY 11439-1143

Phone

(718) 990-2477

NPI assigned

Mar 4, 2021

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 names 1

• Nicole Marie Patnode Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1306431093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 UTOPIA PKWY",
            "address_2": "ST. ALBERT HALL ROOM 114",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114399000",
            "telephone_number": "718-990-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 UTOPIA PARKWAY",
            "address_2": "ST. ALBERT HALL ROOM 114",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "114391143",
            "telephone_number": "718-990-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270-05 76th Avenue",
            "address_2": "Drug Information Center",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "718-470-7954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAISCH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PATNODE",
            "middle_name": "MARIE",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandrawattie Lorick, M.A, TSLD
• Celeste Lucas-Powers, LMSW
• Lynie Pepito Lumang, RPT
• Sharde' Mack, M.S
• Marcia Mahan Smith, CASAC
• Dovid Mallayev
• Steven Bernard Markowitz, MD
• Anna Marlow
• Penelope Martinez Jimenez, M.D.
• Rachel Marie Massone

• Pharmacist in Queens, NY
• Providers in Queens, 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 4, 2021; 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.