Active NPI
Michelle Pacia
- Pharmacist
- Long Island City, NY
National Provider Identifier
1710579834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067589
- Practice address
- 2726 Queens PLZ S
Long Island City, NY 11101-4102 - Phone
- (718) 269-7385
- Fax
- (718) 269-7386
- NPI assigned
- Feb 9, 2021
- Last updated
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067589 | NY | Primary |
Addresses
Primary practice location
2726 Queens PLZ S
Long Island City, NY 11101-4102
Mailing address
2726 Queens PLZ S
Long Island City, NY 11101-4102
Phone (718) 269-7385
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
| License | State | Type | Specialty |
|---|---|---|---|
| 067589 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2726 Queens Plz S
Long Island City, NY 11101
Phone (718) 269-7385
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1710579834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 QUEENS PLZ S",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014102",
"telephone_number": "718-269-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 QUEENS PLZ S",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014102",
"telephone_number": "718-269-7385",
"fax_number": "718-269-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACIA",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2022-11-22",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.