Individual provider Active NPI

Monica Gail Shkolnik, RPH

  • Pharmacist
  • East Patchogue, NY
National Provider Identifier
1891010062
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039304 Issued in NY
Practice address
747 Montauk Hwy
East Patchogue, NY 11772-5423
Phone
(631) 654-2444
Fax
(631) 654-1837
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 039304 NY Primary

Addresses

Primary practice location

747 Montauk Hwy
East Patchogue, NY 11772-5423

Mailing address

747 Montauk Hwy
East Patchogue, NY 11772-5423
Phone (631) 654-2444

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

LicenseStateTypeSpecialty
039304NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1891010062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725423",
            "telephone_number": "631-654-2444",
            "fax_number": "631-654-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725423",
            "telephone_number": "631-654-2444",
            "fax_number": "631-654-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKOLNIK",
        "first_name": "MONICA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.