Active NPI
Elina M Kendis, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1558549238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049456
- Practice address
- 111 Worth St
New York, NY 10013-4008 - Phone
- (212) 571-4621
- Fax
- (212) 571-4625
- NPI assigned
- Feb 5, 2008
- 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 | 049456 | NY | Primary |
Addresses
Primary practice location
111 Worth St
New York, NY 10013-4008
Mailing address
111 Worth St
New York, NY 10013-4008
Phone (212) 571-4621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02783315 | Medicaid | NY |
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 |
|---|---|---|---|
| 049456 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1558549238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WORTH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134008",
"telephone_number": "212-571-4621",
"fax_number": "212-571-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WORTH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134008",
"telephone_number": "212-571-4621",
"fax_number": "212-571-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDIS",
"first_name": "ELINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02783315",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.