Active NPI
Melody S Nikfarjam, PHARMD
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1922357292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057257-1
- Practice address
- 201 Glen St
Glen Cove, NY 11542-2734 - Phone
- (516) 671-1520
- Fax
- (516) 759-7180
- NPI assigned
- Sep 2, 2012
- 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 | 057257-1 | NY | Primary |
Addresses
Primary practice location
201 Glen St
Glen Cove, NY 11542-2734
Mailing address
201 Glen St
Glen Cove, NY 11542-2734
Phone (516) 671-1520
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 |
|---|---|---|---|
| 057257-1 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346544000000",
"number": "1922357292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 GLEN ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422734",
"telephone_number": "516-671-1520",
"fax_number": "516-759-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 GLEN ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422734",
"telephone_number": "516-671-1520",
"fax_number": "516-759-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKFARJAM",
"first_name": "MELODY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-02",
"last_updated": "2012-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057257-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.