Therese Bordas
Individual provider Active NPI Pharmacist · Merrick, NY
NPI 1972227486 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1972227486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 044962 (NY)
- Practice address
- 2291 Merrick Rd
Merrick, NY 11566-4756 - Phone
- (516) 378-8222
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044962 | NY | Yes |
Addresses
Primary practice location
2291 Merrick Rd
Merrick, NY 11566-4756
Mailing address
24 W Valley Stream Blvd Apt 1
Valley Stream, NY 11580-6232
Phone (516) 262-0440
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.