Active NPI
Charles Francis Civiello, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1043494891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028200
- Practice address
- 182 Smith St
Brooklyn, NY 11201-6409 - Phone
- (718) 246-4229
- NPI assigned
- Dec 28, 2007
- 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 | 028200 | NY | Primary |
| Pharmacist | 183500000X | 028200-1 | NY |
Addresses
Primary practice location
182 Smith St
Brooklyn, NY 11201-6409
Mailing address
182 Smith St
Brooklyn, NY 11201-6409
Phone (718) 246-4229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01765008 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028200-1 | NY | MD | Pharmacist |
| 028200 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1043494891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016409",
"telephone_number": "718-246-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016409",
"telephone_number": "718-246-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIVIELLO",
"first_name": "CHARLES",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028200",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028200-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01765008",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.