Active NPI
Joan Patricia Patzelt-Guerra
- Pharmacist
- Whitestone, NY
National Provider Identifier
1336471564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037530-1
- Practice address
- 2021 Francis Lewis Blvd
Whitestone, NY 11357-3930 - Phone
- (718) 225-2653
- NPI assigned
- Feb 15, 2010
- Sex
- Female
- 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 | 037530-1 | NY | Primary |
Addresses
Primary practice location
2021 Francis Lewis Blvd
Whitestone, NY 11357-3930
Mailing address
16312 19TH Ave
Whitestone, NY 11357-3339
Phone (718) 352-8732
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037530-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | 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": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1336471564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16312 19TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573339",
"telephone_number": "718-352-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 FRANCIS LEWIS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573930",
"telephone_number": "718-225-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATZELT-GUERRA",
"first_name": "JOAN",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037530-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.