Active NPI
Rachana Walter
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1730467663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040882
- Practice address
- 94-61 Corona Ave
Av Pharmacy
Elmhurst, NY 11373 - Phone
- (718) 271-1262
- Fax
- (718) 271-3157
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 040882 | NY | Primary |
Addresses
Primary practice location
94-61 Corona Ave
Av Pharmacy
Elmhurst, NY 11373
Mailing address
94-61 Corona Ave
Av Pharmacy
Elmhurst, NY 11373
Phone (718) 271-1262
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 |
|---|---|---|---|
| 040882 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avz Corp | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504310400000",
"number": "1730467663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-61 CORONA AVE",
"address_2": "AV PHARMACY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-271-1262",
"fax_number": "718-271-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-61 CORONA AVE",
"address_2": "AV PHARMACY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-271-1262",
"fax_number": "718-271-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "RACHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2017-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.