Active NPI
Angeliki Pengos, RPH
- Pharmacist
- Wappingers Falls, NY
National Provider Identifier
1487834081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043017
- Practice address
- 1575 Route 9
Wappingers Falls, NY 12590-2827 - Phone
- (845) 632-9020
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 043017 | NY | Primary |
Addresses
Primary practice location
1575 Route 9
Wappingers Falls, NY 12590-2827
Mailing address
1575 Route 9
Wappingers Falls, NY 12590-2827
Phone (845) 632-9020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043017 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Namdor Inc | Pharmacist | Past | Accepting new patients |
| Walgreen Co | Past | Accepting new patients | |
| Namdor Inc | Pharmacist | Past | Accepting new patients |
Locations
1575 Route 9
Wappingers Falls, NY 12590
Phone (845) 632-9020
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1487834081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 ROUTE 9",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125902827",
"telephone_number": "845-632-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 ROUTE 9",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125902827",
"telephone_number": "845-632-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENGOS",
"first_name": "ANGELIKI",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.