Individual provider Active NPI

Stephen Anthony Coniglio, R.PH.

  • Pharmacist
  • Henrietta, NY
National Provider Identifier
1033432117
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026966 Issued in NY
Practice address
71 Ayrshire LN
Henrietta, NY 14467-9382
Phone
(585) 486-4640
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 026966 NY Primary
Pharmacist 183500000X S016329 AZ

Addresses

Primary practice location

71 Ayrshire LN
Henrietta, NY 14467-9382

Mailing address

71 Ayrshire LN
Henrietta, NY 14467-9382
Phone (585) 278-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S016329AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1033432117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 AYRSHIRE LN",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679382",
            "telephone_number": "585-278-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 AYRSHIRE LN",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679382",
            "telephone_number": "585-486-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "026966",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.