Active NPI
Derek Mingozzi, R. PH.
- Pharmacist
- Plainview, NY
National Provider Identifier
1043535529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045434
- Practice address
- 55 West Ames CT
Plainview, NY 11801 - Phone
- (516) 938-8080
- Fax
- (800) 783-9127
- NPI assigned
- Mar 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045434 | NY | Primary |
Addresses
Primary practice location
55 West Ames CT
Plainview, NY 11801
Mailing address
2950 Valentine Place
Wantagh, NY 11793
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 |
|---|---|---|---|
| 045434 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1043535529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 VALENTINE PLACE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "11793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WEST AMES CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-938-8080",
"fax_number": "800-783-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGOZZI",
"first_name": "DEREK",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.