Nicholas F Koutovas, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042178 Issued in NY

Practice address

1-13 E Kingsbridge Rd
Bronx, NY 10468

Phone

(718) 364-5219

Fax

(718) 364-6259

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

Yes

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.

• Duane Reade

  • Pharmacy
  • Bronx, NY
  • NPI 1518982081
  NPD (past)
• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1316122385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687510",
            "telephone_number": "718-364-5219",
            "fax_number": "718-364-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-13 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "718-364-5219",
            "fax_number": "718-364-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTOVAS",
        "first_name": "NICHOLAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01562463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vasilios Koulouris
• Naida Koura-Mola
• Aicha Kourouma, LPN
• Sarah Kourouma, LCSW
• Edem Koutodzo, LPN
• Demetri Alexander Koutsospyros, MD
• Roula Kouvatas
• Mohamed Kouyate, LPN
• Vilajet Kovaci, MD
• Christina Kovacs, MS, NCC, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.