Active NPI
Enis De Jesus Meza-Rodriguez, RPH
- Pharmacist
- Corona, NY
National Provider Identifier
1780828541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052268
- Practice address
- 3763 103Rd St
Corona, NY 11368-1952 - Phone
- (718) 205-3633
- Fax
- (718) 205-5775
- NPI assigned
- Apr 23, 2009
- 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 | 052268 | NY | Primary |
Addresses
Primary practice location
3763 103Rd St
Corona, NY 11368-1952
Mailing address
2437 78TH St
East Elmhurst, NY 11370-1529
Phone (718) 429-0291
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 |
|---|---|---|---|
| 052268 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.G.R. Farmacia Latina Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Corona, NY
- NPI 1528165479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1780828541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 78TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701529",
"telephone_number": "718-429-0291",
"fax_number": "718-205-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3763 103RD ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113681952",
"telephone_number": "718-205-3633",
"fax_number": "718-205-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZA-RODRIGUEZ",
"first_name": "ENIS",
"middle_name": "DE JESUS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.