Anthony Degelorm, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

064729 Issued in NY

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(631) 675-4201

NPI assigned

Oct 15, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1013483312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PATRICK CIR",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130693209",
            "telephone_number": "315-561-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-675-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGELORM",
        "first_name": "ANTHONY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD OF PHARMACY",
            "identifier": "064729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Eileen De Simone, PA-C
• Gary R Debarbieri, DPT
• Russell R Decasteele, LPN
• Lisa Defeis, LCSW
• Christy K Defournoy
• Stephanie J Dejoseph
• Ryan Dekenipp, PHYSICIAN ASSISTANT
• Edward Delano, M.D.
• Myrna Delarosamatos, RN
• Michael Robert Delman, MD

• Pharmacist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.