BETTY CHACKO (NPI# 1760704548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760704548 |
| Entity Type | Individual |
| Full Name | BETTY CHACKO |
| Credential | RPH |
| Practice Address |
25405 Hillside Ave Glen Oaks NY 11004-1613 |
| Mailing Address |
6 Gordon Drive Williston Park NY 11596 |
| Practice Telephone | 7183477312 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051494 | NY | Pharmacy Service Providers |
| Street Address |
25405 HILLSIDE AVE |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366756041 | Mohammad Waqas Tanveir | Pharmacist | 25405 Hillside Ave, Glen Oaks, NY 11004-1613 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714146 | Sayan Zachariah | Pharmacist | 8015 254th St, Glen Oaks, NY 11004-1219 | 2018-09-18 |
| 1396170403 | Sanish P Vithayathil | Pharmacist | 8016 259th St, Glen Oaks, NY 11004-1238 | 2013-09-08 |
| 1780017459 | Sherry Badloo | Pharmacist | 26611 Hillside Ave, Glen Oaks, NY 11004-1747 | 2013-08-16 |
| 1649515875 | Rima Gandhi | Pharmacist | 26023 75th Ave Apt 2, Glen Oaks, NY 11004-1118 | 2012-11-28 |
| 1457675340 | Maryam Kheirabi | Pharmacist | 26181 Langston Ave, Glen Oaks, NY 11004-1040 | 2010-03-21 |
| 1104094606 | Donna T Ho-lam | Pharmacist | 258-17 Union T'pke, Glen Oaks, NY 11004 | 2008-02-19 |
| 1114104833 | Anuj P Doshi | Pharmacist | 254-05 Hillside Ave, Glen Oaks, NY 11004-1121 | 2008-01-24 |
| 1427232909 | Jiwon Yern | Pharmacist | 8053 264th St, Glen Oaks, NY 11004-1522 | 2007-12-20 |
| 1841471919 | Jimmy Tu | Pharmacist | 25501 Union Tpke, Glen Oaks, NY 11004-1223 | 2007-11-17 |
| 1225175797 | Richard Edward Gonzalez | Pharmacist | 25707 Union Tpke, Glen Oaks, NY 11004-1250 | 2007-01-31 |
| Find all providers in GLEN OAKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.