Angelo B Pharmakidis MD PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5637 Issued in RI

Legal business name

ANGELO B PHARMAKIDIS MD PHD

Practice address

16-37 Mineral Spring Avenue
N Providence, RI 02904

Phone

(401) 353-7330

Fax

(401) 354-4760

NPI assigned

Jul 3, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Effie Pharmakidis

Title

Office Manager

Phone

40135307332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1487852356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-37 MINERAL SPRING AVENUE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-353-7330",
            "fax_number": "401-354-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-37 MINERAL SPRING AVENUE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-353-7330",
            "fax_number": "401-354-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO B PHARMAKIDIS MD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "PHARMAKIDIS",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "40135307332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in N Providence, RI
• Providers in N Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.