Individual provider Active NPI

Alfonso J Squitieri, R.PH.

  • Pharmacist
  • Slate Hill, NY
National Provider Identifier
1043495054
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037589-1 Issued in NY
Practice address
2904 Route 6
Suites 8 & 9
Slate Hill, NY 10973
Phone
(845) 355-5555
Fax
(845) 355-2525
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037589-1 NY Primary

Addresses

Primary practice location

2904 Route 6
Suites 8 & 9
Slate Hill, NY 10973

Mailing address

76 Foxfire Estates Rd
Middletown, NY 10940-6180
Phone (845) 355-6808

Other identifiers 1

IdentifierTypeStateIssuer
01444233MedicaidNY

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
037589-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Slate Hill Chemists Inc Current Accepting new patients
Slate Hill Chemists Inc Current Accepting new patients

Locations

2904 Route 6
Ste 8
Slate Hill, NY 10973
Phone (845) 355-5555

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.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1043495054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 FOXFIRE ESTATES RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406180",
            "telephone_number": "845-355-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 ROUTE 6",
            "address_2": "SUITES 8 & 9",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "10973",
            "telephone_number": "845-355-5555",
            "fax_number": "845-355-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUITIERI",
        "first_name": "ALFONSO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037589-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01444233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slate Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.