Active NPI
Evangelia Katsamanis, RPH
- Pharmacist
- Farmingdale, NY
National Provider Identifier
1932355450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046940
- Practice address
- 619 Main St
Farmingdale, NY 11735-4100 - Phone
- (800) 218-5604
- Fax
- (800) 218-4924
- NPI assigned
- Aug 15, 2008
- 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 | 046940 | NY | Primary |
Addresses
Primary practice location
619 Main St
Farmingdale, NY 11735-4100
Mailing address
619 Main St
Farmingdale, NY 11735-4100
Phone (800) 218-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046940 | Other | NY | NYS PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| 046940 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1932355450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354100",
"telephone_number": "800-218-5604",
"fax_number": "800-218-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354100",
"telephone_number": "800-218-5604",
"fax_number": "800-218-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSAMANIS",
"first_name": "EVANGELIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACY LICENSE NUMBER",
"identifier": "046940",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.