Elona Michelle Wasik, RPH
Individual provider Active NPI Pharmacist · Irving, NY
NPI 1487985594 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1487985594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 046074-1 (NY)
- Practice address
- 36 Thomas Indian School Dr
Irving, NY 14081-9300 - Phone
- (716) 532-5582
- Fax
- (716) 532-0110
- NPI assigned
- Jan 29, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046074-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046074-1 | NY | Yes |
Addresses
Primary practice location
36 Thomas Indian School Dr
Irving, NY 14081-9300
Mailing address
36 Thomas Indian School Dr
Irving, NY 14081-9300
Phone (716) 532-5582
Other providers in Irving, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.