Active NPI
Minera Devi Persaud
- Pharmacist
- Valley Stream, NY
National Provider Identifier
1346415197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0044225
- Practice address
- 85 Bucknell Rd
Valley Stream, NY 11580-5326 - Phone
- (516) 972-6637
- Fax
- (516) 972-6637
- NPI assigned
- Apr 23, 2008
- Last updated
- Apr 23, 2008
- 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 | 0044225 | NY | Primary |
Addresses
Primary practice location
85 Bucknell Rd
Valley Stream, NY 11580-5326
Mailing address
155 E 34TH St
New York, NY 10016-4766
Phone (212) 683-3042
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 |
|---|---|---|---|
| 0044225 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1346415197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164766",
"telephone_number": "212-683-3042",
"fax_number": "917-351-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BUCKNELL RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805326",
"telephone_number": "516-972-6637",
"fax_number": "516-972-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "MINERA",
"middle_name": "DEVI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0044225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.