Active NPI
Kaliopi Panagos, PHARM.D., R.PH.
- Pharmacist
- Springfield Gardens, NY
National Provider Identifier
1902120223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047480
- Practice address
- 21914 Merrick Blvd
Springfield Gardens, NY 11413-1923 - Phone
- (718) 712-7895
- NPI assigned
- Mar 15, 2010
- Last updated
- Mar 15, 2010
- 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 | 047480 | NY | Primary |
Addresses
Primary practice location
21914 Merrick Blvd
Springfield Gardens, NY 11413-1923
Mailing address
5026 Oceania St
Oakland Gardens, NY 11364-1123
Phone (718) 598-0548
Other names 1
- Dr. Kaliopi Petris
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047480 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Soma Dynamics Physical Therapy and Wellness LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Bayside, NY
- NPI 1245722867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1902120223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5026 OCEANIA ST",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641123",
"telephone_number": "718-598-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21914 MERRICK BLVD",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114131923",
"telephone_number": "718-712-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANAGOS",
"first_name": "KALIOPI",
"name_prefix": "Dr.",
"credential": "PHARM.D., R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALIOPI",
"last_name": "PETRIS",
"prefix": "DR.",
"credential": "PHARM.D., R.PH.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Springfield Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.