Individual provider Active NPI

Evangelia Psyllos

  • Pharmacist
  • Astoria, NY
National Provider Identifier
1396625968
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045201-01 Issued in NY
Practice address
2282 31St St
Astoria, NY 11105-2714
Phone
(718) 728-3127
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045201-01 NY Primary

Addresses

Primary practice location

2282 31St St
Astoria, NY 11105-2714

Mailing address

30 Blenheim Dr
Manhasset, NY 11030-3708
Phone (347) 236-2819

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

LicenseStateTypeSpecialty
045201-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Double G Pharmacy Inc. CurrentSince Nov 18, 2025 Accepting new patients
Double G Pharmaceuticals,Inc. PastSince Sep 8, 2025 Accepting new patients

Locations

2282 31st St
Astoria, NY 11105
Phone (718) 728-3127

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1396625968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BLENHEIM DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303708",
            "telephone_number": "347-236-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052714",
            "telephone_number": "718-728-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSYLLOS",
        "first_name": "EVANGELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045201-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.