Active NPI
Gabrielle Flavoni
- Pharmacist
- Amityville, NY
National Provider Identifier
1871070276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064195
- Practice address
- 20 Merrick Rd
Amityville, NY 11701-3455 - Phone
- (631) 691-0428
- NPI assigned
- Jul 27, 2018
- 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 | 064195 | NY | Primary |
Addresses
Primary practice location
20 Merrick Rd
Amityville, NY 11701-3455
Mailing address
29 Club Dr
Massapequa, NY 11758-8532
Other practice location 1
29 Club Dr
Massapequa, NY 11758-8532
Phone (516) 541-4852
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 |
|---|---|---|---|
| 064195 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1871070276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CLUB DR",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117588532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MERRICK RD",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013455",
"telephone_number": "631-691-0428"
}
],
"practiceLocations": [
{
"address_1": "29 Club Dr",
"address_purpose": "LOCATION",
"city": "Massapequa",
"state": "NY",
"postal_code": "117588532",
"country_code": "US",
"telephone_number": "516-541-4852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAVONI",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.