Active NPI
Mercy Odeiadom, PHARM D
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1932726288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066650
- Practice address
- 9519 57TH Ave
Elmhurst, NY 11373-4616 - Phone
- (718) 271-9429
- NPI assigned
- Jul 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 066650 | NY | Primary |
Addresses
Primary practice location
9519 57TH Ave
Elmhurst, NY 11373-4616
Mailing address
9823 Horace Harding Expy Apt 17L
Corona, NY 11368-4273
Phone (212) 518-7673
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 |
|---|---|---|---|
| 066650 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1932726288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9823 HORACE HARDING EXPY APT 17L",
"city": "CORONA",
"state": "NY",
"postal_code": "113684273",
"telephone_number": "212-518-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9519 57TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734616",
"telephone_number": "718-271-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEIADOM",
"first_name": "MERCY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.