Active NPI
Christina Gustavson, R.PH
- Pharmacist
- Yorktown Heights, NY
National Provider Identifier
1992027361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042393
- Practice address
- 2000 Commerce St
Yorktown Heights, NY 10598-4412 - Phone
- (914) 245-0292
- Fax
- (914) 245-8499
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042393 | NY | Primary |
| Pharmacist | 183500000X | 22169 | MA |
Addresses
Primary practice location
2000 Commerce St
Yorktown Heights, NY 10598-4412
Mailing address
8 Woodland Blvd
Cortlandt Manor, NY 10567-1041
Phone (914) 526-8325
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22169 | MA | MD | Pharmacist |
| 042393 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1992027361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WOODLAND BLVD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105671041",
"telephone_number": "914-526-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 COMMERCE ST",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984412",
"telephone_number": "914-245-0292",
"fax_number": "914-245-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAVSON",
"first_name": "CHRISTINA",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042393",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "22169",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.