Active NPI
Anthony Louis Bambace
- Pharmacist
- Island Park, NY
National Provider Identifier
1053592303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039387
- Practice address
- 333 Long Beach Rd
Island Park, NY 11558-1509 - Phone
- (516) 431-1991
- Fax
- (516) 431-1496
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 039387 | NY | Primary |
Addresses
Primary practice location
333 Long Beach Rd
Island Park, NY 11558-1509
Mailing address
333 Long Beach Rd
Island Park, NY 11558-1509
Phone (516) 431-1991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039387 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V & B Pharmacy Inc | Current | Accepting new patients | |
| Garden City Chemists Inc | Current | Accepting new patients | |
| Oprx #11558, LLC | Past | Accepting new patients | |
| Oprx #11558, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pharmacy
- Garden City, NY
- NPI 1013231380
-
- Community/Retail Pharmacy
- Medford, NY
- NPI 1316038060
-
- Community/Retail Pharmacy
- Island Park, NY
- NPI 1659485548
-
- Community/Retail Pharmacy
- Island Park, NY
- NPI 1891420592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1053592303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LONG BEACH RD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581509",
"telephone_number": "516-431-1991",
"fax_number": "516-431-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LONG BEACH RD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581509",
"telephone_number": "516-431-1991",
"fax_number": "516-431-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBACE",
"first_name": "ANTHONY",
"middle_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Island Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.