Active NPI
Peter Hakan Kalyoncu
- Pharmacist
- Cambria Heights, NY
National Provider Identifier
1427825801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 071102
- Practice address
- 20609 Linden Blvd
Cambria Heights, NY 11411-1523 - Phone
- (718) 276-8400
- NPI assigned
- Dec 6, 2023
- Last updated
- Dec 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071102 | NY | Primary |
Addresses
Primary practice location
20609 Linden Blvd
Cambria Heights, NY 11411-1523
Mailing address
4319 249TH St
Little Neck, NY 11363-1622
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071102 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Current | Accepting new patients |
Locations
20609 Linden Blvd
Cambria Heights, NY 11411
Phone (718) 276-0412
Organizations & group practices 1
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": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1427825801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4319 249TH ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113631622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20609 LINDEN BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111523",
"telephone_number": "718-276-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALYONCU",
"first_name": "PETER",
"middle_name": "HAKAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.