Organization Active NPI

Clinical Pharmacy Consult, LLC

  • Pharmacy
  • Mineola, NY
National Provider Identifier
1548406119
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
046732 Issued in NY
Legal business name
CLINICAL PHARMACY CONSULT, LLC
Practice address
134 Evelyn Rd
Mineola, NY 11501-3206
Phone
(516) 376-6412
NPI assigned
Jan 1, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Robert Kennedy Awadallah, R.PH, MBANPI 1043855596
Title
Member Manager
Phone
(516) 376-6412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 046732 NY Primary

Addresses

Primary practice location

134 Evelyn Rd
Mineola, NY 11501-3206

Mailing address

734 Franklin Ave
#665
Garden City, NY 11530-4525
Phone (516) 376-6412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1548406119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 FRANKLIN AVE",
            "address_2": "#665",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304525",
            "telephone_number": "516-376-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVELYN RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013206",
            "telephone_number": "516-376-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PHARMACY CONSULT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "AWADALLAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "516-376-6412",
        "authorized_official_credential": "R.PH, MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "046732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.