Active NPI
Andrew Felix Bardales, PHARMD
- Pharmacist
- Riverhead, NY
National Provider Identifier
1629674775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I066889
- Practice address
- 1140 Old Country Rd
Riverhead, NY 11901-2073 - Phone
- (631) 727-9000
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | I066889 | NY | Primary |
Addresses
Primary practice location
1140 Old Country Rd
Riverhead, NY 11901-2073
Mailing address
49 Landau Ave
Floral Park, NY 11001-3603
Phone (516) 491-0585
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I066889 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1629674775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LANDAU AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013603",
"telephone_number": "516-491-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073",
"telephone_number": "631-727-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDALES",
"first_name": "ANDREW",
"middle_name": "FELIX",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I066889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.