Individual provider Active NPI

Peter George Nekos, RPH

  • Pharmacist
  • Boiceville, NY
National Provider Identifier
1831413954
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30950 Issued in NY
Practice address
4103 State RT 28
474
Boiceville, NY 12412-0474
Phone
(845) 657-6511
Fax
(854) 757-9854
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30950 NY Primary

Addresses

Primary practice location

4103 State RT 28
474
Boiceville, NY 12412-0474

Mailing address

4103 State RT 28
BX 474
Boiceville, NY 12412-0474
Phone (845) 651-6511

Other names 1

  • Peter George Nekos Professional name

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

LicenseStateTypeSpecialty
30950NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Boiceville Pharmacy Inc. Pharmacist Current Accepting new patients
Saugerties Pharmacy LLC Current Accepting new patients
Nekos Red Hook Drug Store Inc Pharmacist Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1831413954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 STATE RT 28",
            "address_2": "BX 474",
            "city": "BOICEVILLE",
            "state": "NY",
            "postal_code": "124120474",
            "telephone_number": "845-651-6511",
            "fax_number": "845-657-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 STATE RT 28",
            "address_2": "474",
            "city": "BOICEVILLE",
            "state": "NY",
            "postal_code": "124120474",
            "telephone_number": "845-657-6511",
            "fax_number": "854-757-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKOS",
        "first_name": "PETER",
        "middle_name": "GEORGE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "30950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "NEKOS",
            "middle_name": "GEORGE",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boiceville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.