NPIMap

Individual provider Active NPI

Peter E Levis, R.PH.

  • Pharmacist
  • Astoria, NY
National Provider Identifier
1417096793
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041904 Issued in NY
Practice address
3519 31St Ave
Astoria, NY 11106-1408
Phone
(718) 267-8063
Fax
(718) 267-8562
NPI assigned
Feb 5, 2007
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041904 NY Primary

Addresses

Primary practice location

3519 31St Ave
Astoria, NY 11106-1408

Mailing address

3519 31St Ave
Astoria, NY 11106-1408
Phone (718) 267-8063

Other identifiers 1

IdentifierTypeStateIssuer
041904OtherNYNYS LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address titanpharmacy@titanpharmacy.com Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041904NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Levron, Inc. CurrentSince Jul 3, 2022 Accepting new patients
Pelvov, Inc Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1417096793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061408",
            "telephone_number": "718-267-8063",
            "fax_number": "718-267-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061408",
            "telephone_number": "718-267-8063",
            "fax_number": "718-267-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIS",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "041904",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "titanpharmacy@titanpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3519 31st Ave",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111061408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 27, 2022; 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.