Elaine A Petses, RPH,CDM

Primary specialty

PharmacistTaxonomy code 183500000X

License

044971 Issued in NY

Practice address

7501 5TH Ave
Brooklyn, NY 11209-3301

Phone

(718) 492-4495

Fax

(718) 492-8669

NPI assigned

May 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811108079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094110",
            "telephone_number": "718-490-4620",
            "fax_number": "718-492-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093301",
            "telephone_number": "718-492-4495",
            "fax_number": "718-492-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSES",
        "first_name": "ELAINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RPH,CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marya Petrutik
• Petrychenko Physician PC
• Dmitri Petrychenko, M.D.
• Kateryna Petrychenko
• Liliya Petrychuk
• Halyna Petsukh, AGNP
• Carla Luisa Petterkin-Caldwell, MD
• Cristina Rose Petti
• Glenda Pettiford, MSPED
• Bobbie Bruce Pettigrew Jr.

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.