Active NPI
Evelyn E Achugonye, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1659539161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039567
- Practice address
- 568 W 125TH St
New York, NY 10027 - Phone
- (212) 865-3894
- Fax
- (212) 865-2382
- NPI assigned
- May 30, 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 | 039567 | NY | Primary |
Addresses
Primary practice location
568 W 125TH St
New York, NY 10027
Mailing address
320 W 145TH St
New York, NY 10039-3031
Phone (212) 939-0941
Other practice location 1
1888 Westchester Ave
Bronx, NY 10472-3000
Phone (718) 409-5146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01881570 | 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 |
|---|---|---|---|
| 039567 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
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.
-
- Pharmacy
- New York, NY
- NPI 1235154709
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1659539161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393031",
"telephone_number": "212-939-0941",
"fax_number": "212-939-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "212-865-3894",
"fax_number": "212-865-2382"
}
],
"practiceLocations": [
{
"address_1": "1888 Westchester Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104723000",
"country_code": "US",
"telephone_number": "718-409-5146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACHUGONYE",
"first_name": "EVELYN",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01881570",
"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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.