Individual provider Active NPI

Christina Intravaia, PHARM. D

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1821572918
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064699 Issued in NY
Practice address
320 Smith St
Brooklyn, NY 11231-4608
Phone
(718) 403-9371
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064699 NY Primary

Addresses

Primary practice location

320 Smith St
Brooklyn, NY 11231-4608

Mailing address

618 W Fingerboard Rd
Staten Island, NY 10305-2632
Phone (718) 501-1455

Other identifiers 1

IdentifierTypeStateIssuer
064699OtherNYREGISTERED PHARMACIST

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

LicenseStateTypeSpecialty
064699NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1821572918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W FINGERBOARD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052632",
            "telephone_number": "718-501-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314608",
            "telephone_number": "718-403-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTRAVAIA",
        "first_name": "CHRISTINA",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "064699",
            "state": "NY"
        }
    ],
    "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 Sep 24, 2018; 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.