Gabriella Diaz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

066134 Issued in NY

Practice address

Vivo Health Pharmacy
450 Lakeville Rd
New Hyde Park, NY 11042

Phone

(516) 734-7780

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1699343996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HARNESS RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801623",
            "telephone_number": "631-681-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIVO HEALTH PHARMACY",
            "address_2": "450 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-734-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GABRIELLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Diamond, MD
• Taniko Diamond
• Jenna Marie Diana, CPNP-PC
• Irma Diasamidze
• Arlene L Diaz, FNP
• Melanie Marie Diaz, NP
• Nicole Theresa Diaz, CPNP
• Tamara Karen Diaz, PA
• Victoria Dibartolo, NNP
• Danielle Rose Diberardino

• Pharmacist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.