Active NPI
Angelika Maria Misterek, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1881245488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066093
- Practice address
- 3027 3Rd Ave
Bronx, NY 10455-2647 - Phone
- (917) 473-7788
- NPI assigned
- Sep 25, 2019
- 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 | 066093 | NY | Primary |
Addresses
Primary practice location
3027 3Rd Ave
Bronx, NY 10455-2647
Mailing address
355 President St
Saddle Brook, NJ 07663-6335
Phone (201) 450-5055
Other practice location 1
1207 2nd Ave
New York, NY 10065-7402
Phone (212) 758-1199
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 |
|---|---|---|---|
| 066093 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedra Pharmacy Houston LLC | Past | Accepting new patients | |
| Cedra Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1255766226
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1467824599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1881245488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PRESIDENT ST",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636335",
"telephone_number": "201-450-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104552647",
"telephone_number": "917-473-7788"
}
],
"practiceLocations": [
{
"address_1": "1207 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100657402",
"country_code": "US",
"telephone_number": "212-758-1199",
"fax_number": "212-758-1189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTEREK",
"first_name": "ANGELIKA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.