Individual provider Active NPI

Joseph T Geraci Jr., RPH

  • Pharmacist
  • East Aurora, NY
National Provider Identifier
1033433115
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
034478-1 Issued in NY
Practice address
597 Oakwood Ave
East Aurora, NY 14052-2333
Phone
(716) 652-1360
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 034478-1 NY Primary

Addresses

Primary practice location

597 Oakwood Ave
East Aurora, NY 14052-2333

Mailing address

597 Oakwood Ave
East Aurora, NY 14052-2333
Phone (716) 652-1360

Other identifiers 1

IdentifierTypeStateIssuer
00607992MedicaidNY

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
034478-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutowski of East Aurora Inc PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1033433115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522333",
            "telephone_number": "716-652-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522333",
            "telephone_number": "716-652-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "034478-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.