Penelope Demetriades, RPH
Pharmacist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1285959635
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1285959635
- Entity type
- Individual (NPI-1)
- Name
- Penelope Demetriades
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2010
- Last updated
- Mar 29, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 022961 | NY | Yes |
Practice location
65 80th StBrooklyn, NY 11209-3511
Phone 718-748-2981
Mailing address
8007 5th AveBrooklyn, NY 11209-4003
Phone 718-238-1090 · Fax 718-748-9275
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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