Active NPI
Puja Vilas Deshpande, PHARM D
- Pharmacist
- Massapequa, NY
National Provider Identifier
1831490697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055260
- Practice address
- 200 Sunrise Mall
Massapequa, NY 11758-4340 - Phone
- (516) 799-5042
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 055260 | NY | Primary |
Addresses
Primary practice location
200 Sunrise Mall
Massapequa, NY 11758-4340
Mailing address
1436 Yarrow Cir
Bellport, NY 11713-3025
Phone (631) 413-1481
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 |
|---|---|---|---|
| 055260 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1831490697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 YARROW CIR",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117133025",
"telephone_number": "631-413-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SUNRISE MALL",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584340",
"telephone_number": "516-799-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHPANDE",
"first_name": "PUJA",
"middle_name": "VILAS",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.