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IVAN JOHN PHILIPOSE
NPI 1134765258
Pharmacist in New Hyde Park, NY

Active since November 24, 2019
1410 BROADWAY, NEW HYDE PARK, NY 11040(516) 902-6492 Get Directions Write a Review

NPPES record last updated: November 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan John Philipose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN JOHN PHILIPOSE (NPI 1134765258) is an individual pharmacist in New Hyde Park, New York, licensed in Connecticut (PCT.0014251) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1134765258
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameIVAN JOHN PHILIPOSE
Location Address1410 BROADWAYNew Hyde Park, NY 11040-4224
Mailing Address910 Summer StStamford, CT 06905-5502 · (516) 902-6492
Phone(516) 902-6492
Sole ProprietorYes
Enumeration DateNovember 24, 2019
✔ NPI 1134765258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CT · PCT.0014251
Definition
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.
1410 BROADWAY, New Hyde Park, NY 11040
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Philipose's NPI number?

The NPI number for Ivan Philipose is 1134765258. It was assigned to this individual provider in the NPPES registry on November 24, 2019.

Where is Ivan Philipose located?

Ivan Philipose practices at 1410 Broadway, New Hyde Park, NY 11040. The listed phone number is (516) 902-6492.

What is Ivan Philipose's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ivan Philipose was last updated on November 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.