Active NPI
Eleni International Inc
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1760769236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032291
- Legal business name
- ELENI INTERNATIONAL INC
- Practice address
- 246 8TH Ave
2ND Floor Suite a
New York, NY 10011-1646 - Phone
- (212) 414-9755
- Fax
- (212) 414-9752
- NPI assigned
- Nov 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avgerini Mouzakitis-Fazio, RPH
- Title
- Vice President
- Phone
- (212) 414-9755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 032291 | NY | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
246 8TH Ave
2ND Floor Suite a
New York, NY 10011-1646
Mailing address
246 8TH Ave
2ND Floor Suite a
New York, NY 10011-1646
Phone (212) 414-9755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134878 | Other | PK | |
| 03876726 | Medicaid | NY |
Other names 1
- New London Specialty Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140415001558 | NY | DME Supplier - Pharmacy | 4789816232 | Practice locations: New York, NY |
National Provider Directory
National Provider DirectoryLocations
246 8th Ave
Fl 2
New York, NY 10011
Phone (212) 414-9755
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New York, NY
- NPI 1649544297
-
- Pharmacist
- New York, NY
- NPI 1427568633
-
- Pharmacist
- New York, NY
- NPI 1457059826
-
- Pharmacist
- New York, NY
- NPI 1447559117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1760769236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 8TH AVE",
"address_2": "2ND FLOOR SUITE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111646",
"telephone_number": "212-414-9755",
"fax_number": "212-414-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 8TH AVE",
"address_2": "2ND FLOOR SUITE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111646",
"telephone_number": "212-414-9755",
"fax_number": "212-414-9752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENI INTERNATIONAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-10",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "MOUZAKITIS-FAZIO",
"authorized_official_first_name": "AVGERINI",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "212-414-9755",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032291",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2134878",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03876726",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New London Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.