Individual provider Active NPI

Anthony Martincic, PHARM.D

  • Pharmacist
  • Mineola, NY
National Provider Identifier
1043496177
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049160 Issued in NY
Practice address
127 Mineola Blvd
Mineola, NY 11501-3917
Phone
(516) 746-4720
Fax
(516) 741-1132
NPI assigned
Jan 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049160 NY Primary

Addresses

Primary practice location

127 Mineola Blvd
Mineola, NY 11501-3917

Mailing address

15737 25TH Ave
Whitestone, NY 11357-3961
Phone (516) 746-4720

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
049160NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Holdings LLC Current Accepting new patients

Locations

127 Mineola Blvd
Mineola, NY 11501
Phone (516) 746-4720

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1043496177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15737 25TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573961",
            "telephone_number": "516-746-4720",
            "fax_number": "516-741-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "516-746-4720",
            "fax_number": "516-741-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCIC",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.