Individual provider Active NPI

Elisa E Deligiannis, BS

  • Pharmacist
  • Baldwin, NY
National Provider Identifier
1386813574
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044908 Issued in NY
Practice address
951 Atlantic Ave
Baldwin, NY 11510-4240
Phone
(516) 223-8392
Fax
(516) 223-8342
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044908 NY Primary

Addresses

Primary practice location

951 Atlantic Ave
Baldwin, NY 11510-4240

Mailing address

951 Atlantic Ave
Baldwin, NY 11510-4240
Phone (516) 223-8392

Other identifiers 1

IdentifierTypeStateIssuer
01552125MedicaidNY

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
044908NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1386813574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104240",
            "telephone_number": "516-223-8392",
            "fax_number": "516-223-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104240",
            "telephone_number": "516-223-8392",
            "fax_number": "516-223-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIGIANNIS",
        "first_name": "ELISA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01552125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.