Elisha Ro, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

065797 Issued in NY

Practice address

9614 63Rd Dr Ste 100
Rego Park, NY 11374-2255

Phone

(718) 777-8111

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Opti Health, Corp.

  • Community/Retail Pharmacy
  • Rego Park, NY
  • NPI 1861900383
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1831747237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 63RD DR STE 100",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742255",
            "telephone_number": "718-777-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 63RD DR STE 100",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742255",
            "telephone_number": "718-777-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "ELISHA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF PHARMACY",
            "identifier": "065797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A. Anthony Ripani, D.D.S.
• Rite Aid of New York Inc
• John Philip Calleja Rius, PT
• Nyasha Rivera
• Riverview Medical Care, P.C.
• Robert Malakov Physician, P.C
• Magalie Rodney
• Janice Rodriguez, CCC-SLP
• Mauricio A Rodriguez, PTA
• Maximo Tiukinhoy Rodriguez III, RPT

• Pharmacist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.