Individual provider Active NPI

Ellana B. Pinchasow, PHARMACIST

  • Pharmacist
  • New York, NY
National Provider Identifier
1689858409
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0500661 Issued in NY
Practice address
1951 1St Ave
New York, NY 10029-6419
Phone
(212) 360-5530
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0500661 NY Primary
Pharmacotherapy Pharmacist 1835P1200X 0500661 NY

Addresses

Primary practice location

1951 1St Ave
New York, NY 10029-6419

Mailing address

11040 Jewel Ave
Forest Hills, NY 11375-3958
Phone (718) 268-1438

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

LicenseStateTypeSpecialty
0500661NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MB Pharmacy LLC Pharmacist Current Accepting new patients
Rite Aid of New York Inc Past Accepting new patients
Rite Aid of New York Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1689858409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 JEWEL AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753958",
            "telephone_number": "718-268-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296419",
            "telephone_number": "212-360-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCHASOW",
        "first_name": "ELLANA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0500661",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "0500661",
            "primary": false
        }
    ],
    "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 May 23, 2008; 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.