Joni Theresa Odongo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

049917 Issued in NY

Practice address

803 Montauk Hwy Unit D
Shirley, NY 11967-2124

Phone

(631) 399-8070

Fax

(631) 399-8076

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1427236223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MONTAUK HWY UNIT D",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672124",
            "telephone_number": "631-399-8070",
            "fax_number": "631-399-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MONTAUK HWY UNIT D",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672124",
            "telephone_number": "631-399-8070",
            "fax_number": "631-399-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012073",
            "country_code": "US",
            "telephone_number": "631-727-9000",
            "fax_number": "631-369-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODONGO",
        "first_name": "JONI",
        "middle_name": "THERESA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Shirley, NY
• Providers in Shirley, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.