Katherine Olga Dimitratos, PHARMD
Individual provider Active NPI Pharmacist · Great Neck, NY
NPI 1982302923 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1982302923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 069745 (NY)
- Practice address
- 96 Horace Harding Blvd
Great Neck, NY 11020-1106 - Phone
- (516) 439-5380
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069745 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaria RX Inc | Current |
Accepting new patients | |
| Town Pharmacy LLC | Current |
Accepting new patients |
Locations
96 Horace Harding Blvd
Great Neck, NY 11020
Phone (516) 439-5380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069745 | NY | Yes |
Addresses
Primary practice location
96 Horace Harding Blvd
Great Neck, NY 11020-1106
Mailing address
37 Meadow Woods Rd
Great Neck, NY 11020-1324
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. 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.