Provider Demographics
NPI:1497887962
Name:TSATSARONIS, CHRIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:TSATSARONIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 BELL BLVD
Mailing Address - Street 2:STERLING PHARMACY
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2943
Mailing Address - Country:US
Mailing Address - Phone:718-224-7300
Mailing Address - Fax:718-224-7306
Practice Address - Street 1:3801 BELL BLVD
Practice Address - Street 2:STERLING PHARMACY
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2943
Practice Address - Country:US
Practice Address - Phone:718-224-7300
Practice Address - Fax:718-224-7306
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6737120001Medicare NSC
NY6737120001Medicare NSC