Individual provider Active NPI

Evangelos Pappas, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1558544866
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048361 Issued in NY
Practice address
4620 3Rd Ave
Brooklyn, NY 11220-1034
Phone
(718) 333-5979
Fax
(718) 333-5983
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048361 NY Primary

Addresses

Primary practice location

4620 3Rd Ave
Brooklyn, NY 11220-1034

Mailing address

4620 3Rd Ave
Brooklyn, NY 11220-1034
Phone (718) 333-5979

Other identifiers 1

IdentifierTypeStateIssuer
04527175MedicaidNY

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

LicenseStateTypeSpecialty
048361NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Chemists, LLC Current Accepting new patients
Ridge Chemists, LLC Current Accepting new patients

Locations

4620 3rd Ave
Brooklyn, NY 11220
Phone (718) 333-5979

Organizations & group practices 2

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": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1558544866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201034",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "EVANGELOS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04527175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.