Individual provider Active NPI

Calliope K Tavlarios, RPH

  • Pharmacist
  • Northport, NY
National Provider Identifier
1720867138
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038550 Issued in NY
Practice address
16 Lord Joes LNDG
Northport, NY 11768-1572
Phone
(631) 697-1119
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038550 NY Primary

Addresses

Primary practice location

16 Lord Joes LNDG
Northport, NY 11768-1572

Mailing address

227 E Main St
Huntington, NY 11743-2924
Phone (631) 351-8989

Other practice location 1

227 E Main St
Huntington, NY 11743-2924
Phone (631) 697-1119

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
038550NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Drugs Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

227 E Main St
Huntington, NY 11743
Phone (631) 351-8989

Organizations & group practices 1

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1720867138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432924",
            "telephone_number": "631-351-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LORD JOES LNDG",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681572",
            "telephone_number": "631-697-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 E Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432924",
            "country_code": "US",
            "telephone_number": "631-697-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVLARIOS",
        "first_name": "CALLIOPE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.