Individual provider Active NPI

Latha Pammal

  • Pharmacist
  • Huntington, NY
National Provider Identifier
1881874386
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040126 Issued in NY
Practice address
391 W Main St
Huntington, NY 11743-3203
Phone
(631) 549-9592
Fax
(631) 549-1190
NPI assigned
Nov 13, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040126 NY Primary

Addresses

Primary practice location

391 W Main St
Huntington, NY 11743-3203

Mailing address

16 Fuller St
Dix Hills, NY 11746-6656
Phone (631) 940-5624

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

LicenseStateTypeSpecialty
040126NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1881874386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FULLER ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466656",
            "telephone_number": "631-940-5624",
            "fax_number": "631-549-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 W MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433203",
            "telephone_number": "631-549-9592",
            "fax_number": "631-549-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMMAL",
        "first_name": "LATHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.