Organization Active NPI

Eleni International Inc

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1760769236
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032291 Issued in NY
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

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Avgerini Mouzakitis-Fazio, RPHNPI 1649544297
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2134878OtherPK
03876726MedicaidNY

Other names 1

  • New London Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415001558 NY DME Supplier - Pharmacy 4789816232 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.