Active NPI
Daniela Valencia, DOCTORATE PHARMACY
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1336680487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055486
- Practice address
- 5425 Flatlands Ave
Brooklyn, NY 11234-2405 - Phone
- (718) 444-5425
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 055486 | NY | Primary |
Addresses
Primary practice location
5425 Flatlands Ave
Brooklyn, NY 11234-2405
Mailing address
4314 Douglaston Pkwy
Douglaston, NY 11363-1540
Phone (917) 509-9558
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 |
|---|---|---|---|
| 055486 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1336680487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 DOUGLASTON PKWY",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631540",
"telephone_number": "917-509-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342405",
"telephone_number": "718-444-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "DANIELA",
"credential": "DOCTORATE PHARMACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.