Active NPI
John Ioannou
- Pharmacist
- Bayside, NY
National Provider Identifier
1861095689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056238-I
- Practice address
- 21220 Northern Blvd
Bayside, NY 11361-3342 - Phone
- (718) 281-3223
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 056238-I | NY | Primary |
Addresses
Primary practice location
21220 Northern Blvd
Bayside, NY 11361-3342
Mailing address
21220 Northern Blvd
Bayside, NY 11361-3342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056238-I | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1861095689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21220 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21220 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613342",
"telephone_number": "718-281-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IOANNOU",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056238-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
- Stephanie Merisa Inga, CPNP-PC
- Integrated Interventional Pain Management PC
- Integrative Pelvic Wellness Occupational Therapy, PLLC
- Interdisciplinary Center for Child Development, Inc. (Iccd)
- International Luxury Transportation Corp
- Olivia Ioannou
- Ion Oltean Physician PC
- Rachel L. Irons, M.A., CCC-SLP
- Patricia Isaacson
- Amanda Ishak
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.