Individual provider Active NPI

Demir Edis, PHARMD

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1346735693
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064116 Issued in NY
Practice address
8510 3Rd Ave
Brooklyn, NY 11209-4610
Phone
(718) 680-9855
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064116 NY Primary

Addresses

Primary practice location

8510 3Rd Ave
Brooklyn, NY 11209-4610

Mailing address

352 89TH St Apt 3B
Brooklyn, NY 11209-5626
Phone (347) 554-0143

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
064116NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ymga Pharmacy Services, Corp Past Accepting new patients
Ymga Pharmacy Services, Corp PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1346735693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 89TH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095626",
            "telephone_number": "347-554-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094610",
            "telephone_number": "718-680-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDIS",
        "first_name": "DEMIR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064116",
            "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 Jun 28, 2018; 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.