Active NPI
Catherine Boutsikakis, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1881918951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042310
- Practice address
- 921 83Rd St
Brooklyn, NY 11228-2817 - Phone
- (718) 492-4470
- NPI assigned
- Mar 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19624 | NV | |
| Pharmacist | 183500000X | 042310 | NY | Primary |
Addresses
Primary practice location
921 83Rd St
Brooklyn, NY 11228-2817
Mailing address
1759 Clear River Falls LN
Henderson, NV 89012-3602
Phone (718) 926-5380
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 |
|---|---|---|---|
| 19624 | NV | MD | Pharmacist |
| 042310 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1881918951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 CLEAR RIVER FALLS LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123602",
"telephone_number": "718-926-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282817",
"telephone_number": "718-492-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTSIKAKIS",
"first_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-18",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19624",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.