Individual provider Active NPI

Avgerini Mouzakitis-Fazio, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1649544297
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0405091 Issued in NY
Practice address
246 8TH Ave
New York, NY 10011-1646
Phone
(212) 243-4987
Fax
(212) 243-7110
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0405091 NY Primary

Addresses

Primary practice location

246 8TH Ave
New York, NY 10011-1646

Mailing address

246 8TH Ave
New York, NY 10011-1646
Phone (212) 243-4987

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
0405091NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New London Pharmacy Inc Current Accepting new patients
Eleni International Inc Current Accepting new patients

Locations

246 8th Ave
New York, NY 10011
Phone (212) 243-4987

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1649544297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111646",
            "telephone_number": "212-243-4987",
            "fax_number": "212-243-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 8TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111646",
            "telephone_number": "212-243-4987",
            "fax_number": "212-243-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZAKITIS-FAZIO",
        "first_name": "AVGERINI",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0405091",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2012; 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.