Active NPI
Evelyn J Fleck, RPH
- Pharmacist
- Westbury, NY
National Provider Identifier
1861761561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040515
- Practice address
- 247 Post Ave Ste 3
Westbury, NY 11590-3047 - Phone
- (516) 333-1019
- NPI assigned
- Dec 26, 2011
- Last updated
- Dec 26, 2011
- Sex
- Female
- 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 | 040515 | NY | Primary |
Addresses
Primary practice location
247 Post Ave Ste 3
Westbury, NY 11590-3047
Mailing address
1160 Sheldon Dr
Westbury, NY 11590-5416
Phone (516) 334-4397
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040515 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Factor Inc | 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": "1324857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324857600000",
"number": "1861761561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 SHELDON DR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905416",
"telephone_number": "516-334-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 POST AVE STE 3",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115903047",
"telephone_number": "516-333-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "EVELYN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-26",
"last_updated": "2011-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.