Candice Leela Beharry, PHARM.D.
Individual provider Active NPI Pharmacist · Elmont, NY
NPI 1386112241 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1386112241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 064961 (NY)
- Practice address
- 2095 Dutch Broadway
Elmont, NY 11003 - Phone
- (516) 285-4214
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064961 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past |
Accepting new patients | |
| Walgreen Eastern Co Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064961 | NY | Yes |
Addresses
Primary practice location
2095 Dutch Broadway
Elmont, NY 11003
Mailing address
2095 Dutch Broadway
Elmont, NY 11003-4247
Phone (516) 285-4214
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.