Active NPI
Donteeno Todd
- Pharmacist
- Bronx, NY
National Provider Identifier
1649981663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069345
- Practice address
- 5564 Broadway
Bronx, NY 10463-5216 - Phone
- (718) 548-5884
- NPI assigned
- Dec 9, 2022
- 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 | 069345 | NY | Primary |
Addresses
Primary practice location
5564 Broadway
Bronx, NY 10463-5216
Mailing address
14409 161St St
Jamaica, NY 11434-4468
Phone (901) 283-2307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069345 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1649981663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14409 161ST ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344468",
"telephone_number": "901-283-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5564 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104635216",
"telephone_number": "718-548-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "DONTEENO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.