Active NPI
Gabriella Sitner-Medvedovsky
- Pharmacist
- Mamaroneck, NY
National Provider Identifier
1457804882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061780-1
- Practice address
- 907 Palmer Ave Apt H4
Mamaroneck, NY 10543-2475 - Phone
- (646) 306-5236
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061780-1 | NY | Primary |
| Pharmacist | 183500000X | CT.0012459 | CT | |
| Pharmacist | 183500000X | 28RI03535300 | NJ |
Addresses
Primary practice location
907 Palmer Ave Apt H4
Mamaroneck, NY 10543-2475
Mailing address
907 Palmer Ave Apt H4
Mamaroneck, NY 10543-2475
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 |
|---|---|---|---|
| CT.0012459 | CT | MD | Pharmacist |
| 28RI03535300 | NJ | MD | Pharmacist |
| 061780-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1457804882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 PALMER AVE APT H4",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 PALMER AVE APT H4",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432475",
"telephone_number": "646-306-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITNER-MEDVEDOVSKY",
"first_name": "GABRIELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061780-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "CT.0012459",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03535300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.