Active NPI
William John Patsakos, PHARM.D
- Pharmacotherapy Pharmacist
- Staten Island, NY
National Provider Identifier
1780009068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 045464
- Practice address
- 261 Kissel Ave
Staten Island, NY 10310-1623 - Phone
- (917) 945-6104
- NPI assigned
- Feb 24, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 045464 | NY | Primary |
Addresses
Primary practice location
261 Kissel Ave
Staten Island, NY 10310-1623
Mailing address
261 Kissel Ave
Staten Island, NY 10310-1623
Phone (917) 945-6104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045464 | Medicaid | NY |
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 |
|---|---|---|---|
| 045464 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1780009068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 KISSEL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101623",
"telephone_number": "917-945-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 KISSEL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101623",
"telephone_number": "917-945-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATSAKOS",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "045464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045464",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.