Active NPI
Liju S Eapen, PHARMD
- Pharmacist
- Yonkers, NY
National Provider Identifier
1730411448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052441
- Practice address
- 678 McLean Ave
Yonkers, NY 10704-3841 - Phone
- (914) 963-3500
- Fax
- (914) 963-4368
- NPI assigned
- Feb 4, 2010
- Last updated
- Feb 21, 2021
- 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 | 052441 | NY | Primary |
Addresses
Primary practice location
678 McLean Ave
Yonkers, NY 10704-3841
Mailing address
23B Etna PL
Nanuet, NY 10954-1105
Phone (845) 624-3874
Other practice location 1
19815 Horace Harding Expy
Fresh Meadows, NY 11365-1732
Phone (718) 224-3830
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052441 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
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": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1730411448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23B ETNA PL",
"city": "NANUET",
"state": "NY",
"postal_code": "109541105",
"telephone_number": "845-624-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107043841",
"telephone_number": "914-963-3500",
"fax_number": "914-963-4368"
}
],
"practiceLocations": [
{
"address_1": "19815 Horace Harding Expy",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113651732",
"country_code": "US",
"telephone_number": "718-224-3830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAPEN",
"first_name": "LIJU",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2021-02-21",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.