Smina Desai

Primary specialty

PharmacistTaxonomy code 183500000X

License

045416 Issued in NY

Practice address

8101 Jericho Tpke
Woodbury, NY 11797-1234

Phone

(516) 692-8447

NPI assigned

Jun 14, 2011

Last updated

Dec 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Stop & Shop Supermarket Company, LLC

  dba Stop and Shop Pharmacy 511

  • Community/Retail Pharmacy
  • Woodbury, NY
  • NPI 1679505531
  NPD (past)
• Stop and Shop Supermarket Co LLC

  dba Stop & Shop Pharmacy 2818

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1679868954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 JERICHO TPKE",
            "address_2": "SS0511",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971234",
            "telephone_number": "516-692-8447",
            "fax_number": "516-692-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971234",
            "telephone_number": "516-692-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SMINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33058",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Davis, B.S. PHARM
• Dawn Michael Nurse Practitioner in Psychiatry PC
• Day-Op Center of Long Island LLC
• Juliana Nicole De Vito, M.S. CF-SLP
• Brooke Denner, LMHC
• Julie Desimone, D.M.D.
• Milagros Diaz, MD
• Heidi Dawn Dietl
• Cathy Distefano, OMT
• Jessica Dizinno

• Pharmacist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.