Active NPI
Ilios Guma, R.PH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1760931885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062433
- Practice address
- 5425 Flatlands Ave
Brooklyn, NY 11234-2405 - Phone
- (718) 444-5425
- NPI assigned
- Sep 30, 2016
- Last updated
- Mar 7, 2017
- Sex
- Male
- 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 | 062433 | NY | Primary |
Addresses
Primary practice location
5425 Flatlands Ave
Brooklyn, NY 11234-2405
Mailing address
8928 74TH Ave
Glendale, NY 11385-7941
Phone (347) 459-2661
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062433 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Specialty Pharmacy Corp | Current | Accepting new patients | |
| Mymeds Specialty Pharmacy LLC | Current | Accepting new patients | |
| Mymeds Pharmacy LLC | Current | Accepting new patients | |
| Aegis Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Long Term Care Pharmacy
- Far Rockaway, NY
- NPI 1932939089
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1679322077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1760931885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 74TH AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857941",
"telephone_number": "347-459-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342405",
"telephone_number": "718-444-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMA",
"first_name": "ILIOS",
"name_prefix": "Dr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-30",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062433",
"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 Mar 7, 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.