Coleen Paderon

Primary specialty

PharmacistTaxonomy code 183500000X

License

062551 Issued in NY

Practice address

1125 Bay St
Staten Island, NY 10305-4930

Phone

(718) 273-4998

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CVS Albany LLC

  • Pharmacy
  • Staten Island, NY
  • NPI 1982707444
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1982214185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 WATCHOGUE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054930",
            "telephone_number": "718-273-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADERON",
        "first_name": "COLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Pacheco
• Tiffany Pacheco, PMHNP-BC
• Angela Paciello
• Pacifico Plastic Surgery Medical PLLC
• Inderbir Singh Padda, M.D.
• Jose Arnoldo Buendia Paderon, O.T.
• Carolina Christine Padilla
• Jocelyn Padilla, NP
• Annette Yolanda Padmore, OT
• Alexis Padovano, CASAC

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.