David Logiudice, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03984400 Issued in NJ

Practice address

6126 188TH St
Fresh Meadows, NY 11365-2713

Phone

(718) 454-4433

Fax

(718) 454-8353

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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
  • Fresh Meadows, NY
  • NPI 1174627921
  NPD (past)
• 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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1700018975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521747",
            "telephone_number": "201-445-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652713",
            "telephone_number": "718-454-4433",
            "fax_number": "718-454-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGIUDICE",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03984400",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF PHARMACY",
            "identifier": "053252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Optics Inc.
• Christina Liu, PHARMD
• Mingyu Liu
• Shu Chiung Liu
• Jacqueline Tin Wai Wong Lo
• Felix Loh, RPA-C
• Vladimir Lokshin, M.D.
• Melissa Layne Longley, RPA-C
• Gina Maria Lopez
• Mindy S Loren-Weiner, NPP

• Pharmacist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 3, 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.