Individual provider Active NPI

Tomasello Riccio, PHARMD

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1043050537
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0016559 Issued in CT
Practice address
112 Amity Rd
New Haven, CT 06515-1405
Phone
(203) 389-8863
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1000261 MA
Pharmacist 183500000X RPH06595 RI
Pharmacist 183500000X PCT0016559 CT Primary

Addresses

Primary practice location

112 Amity Rd
New Haven, CT 06515-1405

Mailing address

112 Amity Rd
New Haven, CT 06515-1405
Phone (203) 389-8863

Other practice location 1

200 Atwood Ave
Cranston, RI 02920-4053
Phone (401) 944-2669

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT0016559CTMDPharmacist
PH1000261MAMDPharmacist
RPH06595RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stop and Shop Supermarket Co LLC PastSince Jun 1, 2024 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Jun 1, 2024 Accepting new patients
The Stop & Shop Supermarket Company LLC PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 3

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1043050537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AMITY RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151405",
            "telephone_number": "203-389-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AMITY RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151405",
            "telephone_number": "203-389-8863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Atwood Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204053",
            "country_code": "US",
            "telephone_number": "401-944-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "TOMASELLO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1000261",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06595",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0016559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.