Active NPI
Gregory Konny
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1396926432
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 18, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047323
- Practice address
- 130 Oceana Dr W Apt 2a
Brooklyn, NY 11235-6649 - Phone
- (917) 689-1945
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047323 | NY | Primary |
| Pharmacist | 183500000X | 24265 | NJ |
Addresses
Primary practice location
130 Oceana Dr W Apt 2a
Brooklyn, NY 11235-6649
Mailing address
130 Oceana Dr W Apt 2a
Brooklyn, NY 11235-6649
Phone (917) 689-1945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01650839 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047323 | NY | MD | Clinical Social Worker |
| 24265 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1396926432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 OCEANA DR W APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356649",
"telephone_number": "917-689-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 OCEANA DR W APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356649",
"telephone_number": "917-689-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONNY",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047323",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "24265",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01650839",
"state": "NY"
}
],
"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 Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.