Active NPI
Maureen Muthoni, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1760835060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100002054
- Practice address
- 1 Brookdale PLZ
Pharmacy Department
Brooklyn, NY 11212-3139 - Phone
- (718) 240-5974
- NPI assigned
- Jul 21, 2016
- 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 | PH100002054 | DC | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
Pharmacy Department
Brooklyn, NY 11212-3139
Mailing address
1905 Middlesex St Apt 18
Lowell, MA 01851-1005
Phone (978) 654-3786
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 |
|---|---|---|---|
| PH100002054 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1760835060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 MIDDLESEX ST APT 18",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511005",
"telephone_number": "978-654-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"address_2": "PHARMACY DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-240-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHONI",
"first_name": "MAUREEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.