DIANA KEDDIS
NPI 1447734330
Pharmacy in Staten Island, NY

Active since September 18, 2018
252 PORT RICHMOND AVE STE B, STATEN ISLAND, NY 10302(718) 556-0942 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Pharmacy

About DIANA KEDDIS

This page provides the complete NPI Profile along with additional information for Diana Keddis, a provider established in Staten Island, New York with a medical specialization in Pharmacy. The healthcare provider is registered in the NPI registry with number 1447734330 assigned on September 2018. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1447734330 Verify this NPI
Provider Name
DIANA KEDDIS
Gender
Female
Entity Type
Individual
Location Address
252 PORT RICHMOND AVE STE B STATEN ISLAND, NY 10302
Location Phone
(718) 556-0942
Mailing Address
252 PORT RICHMOND AVE STATEN ISLAND, NY 10302
Is Sole Proprietor?
Yes
Enumeration Date
09-18-2018
Last Update Date
09-18-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
252 PORT RICHMOND AVE STE B
STATEN ISLAND, NY 10302
Durable Medical Equipment & Medical Supplies
252 PORT RICHMOND AVE STE B
STATEN ISLAND, NY 10302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447734330, enumerated as an "individual" on September 18, 2018.

The provider is located at 252 PORT RICHMOND AVE STE B STATEN ISLAND, NY 10302 and the phone number is (718) 556-0942.

Pharmacy with taxonomy code 333600000X.