Active NPI
Pierre Winchel St Fleur, PHARMACIST
- Pharmacist
- Bonx, NY
National Provider Identifier
1982888137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042595-1
- Practice address
- 1985 University Ave
Bonx, NY 11045-2103 - Phone
- (718) 716-6299
- Fax
- (718) 716-6298
- NPI assigned
- Dec 24, 2007
- Last updated
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 042595-1 | NY | Primary |
Addresses
Primary practice location
1985 University Ave
Bonx, NY 11045-2103
Mailing address
980 Bowe Rd W
Valley Stream, NY 11580
Phone (516) 612-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021196 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042595-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1982888137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 BOWE RD W",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11580",
"telephone_number": "516-612-2260",
"fax_number": "718-367-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 UNIVERSITY AVE",
"city": "BONX",
"state": "NY",
"postal_code": "110452103",
"telephone_number": "718-716-6299",
"fax_number": "718-716-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST FLEUR",
"first_name": "PIERRE",
"middle_name": "WINCHEL",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042595-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021196",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.