Individual provider Active NPI

Katherine Olga Dimitratos, PHARMD

  • Pharmacist
  • Great Neck, NY
National Provider Identifier
1982302923
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069745 Issued in NY
Practice address
96 Horace Harding Blvd
Great Neck, NY 11020-1106
Phone
(516) 439-5380
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069745 NY Primary

Addresses

Primary practice location

96 Horace Harding Blvd
Great Neck, NY 11020-1106

Mailing address

37 Meadow Woods Rd
Great Neck, NY 11020-1324

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

LicenseStateTypeSpecialty
069745NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Pharmacy LLC CurrentSince Aug 3, 2025 Accepting new patients
Aaria RX Inc CurrentSince Nov 8, 2025 Accepting new patients

Locations

96 Horace Harding Blvd
Great Neck, NY 11020
Phone (516) 439-5380

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1982302923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEADOW WOODS RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HORACE HARDING BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201106",
            "telephone_number": "516-439-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRATOS",
        "first_name": "KATHERINE",
        "middle_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.