Afrodite Connie Gourtzelis

Primary specialty

PharmacistTaxonomy code 183500000X

License

042236-1 Issued in NY

Practice address

1706 Parkview Ave
Bronx, NY 10461-5003

Phone

(929) 459-0342

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1689261232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PARKVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615003",
            "telephone_number": "929-459-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PARKVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615003",
            "telephone_number": "929-459-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURTZELIS",
        "first_name": "AFRODITE",
        "middle_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3125 Bainbridge Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104673955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ioulia Gourari, M.D.
• Kranthi Kumar Gouravaram, DO
• Kristi T Gourdine, REGISTERED NURSE
• Sophia Gourgiotis
• Ella Gourley
• Ivon Lestari Goutama, MD
• Mary Trace Gover, MD
• Russell Salvatore Governale, LMSW
• Denita Bernadette Govia, MHC
• Ramasamy Govindarajan, MD

• Pharmacist in Bronx, NY
• Providers in Bronx, 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 30, 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.