Active NPI
Gerard P Tedino
- Pharmacist
- Pearl River, NY
National Provider Identifier
1033713102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057654-1
- Practice address
- 75 N Middletown Rd
Pearl River, NY 10965-2659 - Phone
- (845) 735-8101
- NPI assigned
- Nov 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI16188 | NJ | |
| Pharmacist | 183500000X | 057654-1 | NY | Primary |
Addresses
Primary practice location
75 N Middletown Rd
Pearl River, NY 10965-2659
Mailing address
75 N Middletown Rd
Pearl River, NY 10965-2659
Phone (845) 735-8101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gtedino@cvshealth.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI16188 | NJ | MD | Pharmacist |
| 057654-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Pearl River, NY
- NPI 1184728842
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1033713102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N MIDDLETOWN RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652659",
"telephone_number": "845-735-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N MIDDLETOWN RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652659",
"telephone_number": "845-735-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDINO",
"first_name": "GERARD",
"middle_name": "P",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI16188",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057654-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gtedino@cvshealth.com",
"affiliation": "N",
"address_1": "75 N Middletown Rd",
"city": "Pearl River",
"state": "NY",
"country_code": "US",
"postal_code": "109652659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.