Active NPI
Vincent Fusaro, RPH
- Pharmacist
- Westbury, NY
National Provider Identifier
1063741346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035774
- Practice address
- 44 Bond St
Westbury, NY 11590-5002 - Phone
- (516) 455-3620
- Fax
- (516) 876-0100
- NPI assigned
- Dec 15, 2009
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035774 | NY | Primary |
| Pharmacist | 183500000X | 041414 | AR | |
| Pharmacist | 183500000X | 0011924 | OR | |
| Pharmacist | 183500000X | 18646 | TN | |
| Pharmacist | 183500000X | 020220933 | VA | |
| Pharmacist | 183500000X | 18975 | LA | |
| Pharmacist | 183500000X | T11990 | MS |
Addresses
Primary practice location
44 Bond St
Westbury, NY 11590-5002
Mailing address
44 Bond St
Westbury, NY 11590-5002
Phone (516) 455-3620
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 |
|---|---|---|---|
| 041414 | AR | MD | Pharmacist |
| 18975 | LA | MD | Pharmacist |
| T11990 | MS | MD | Pharmacist |
| 035774 | NY | MD | Pharmacist |
| 0011924 | OR | MD | Pharmacist |
| 18646 | TN | MD | Pharmacist |
| 020220933 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positudes Inc | Current | Accepting new patients | |
| Positudes Inc | Current | Accepting new patients |
Locations
44 Bond St
Westbury, NY 11590
Phone (516) 876-0100
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.
-
- Community/Retail Pharmacy
- Westbury, NY
- NPI 1194759423
-
- Specialty Pharmacy
- Westbury, NY
- NPI 1568252252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1063741346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BOND ST",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905002",
"telephone_number": "516-455-3620",
"fax_number": "516-876-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BOND ST",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905002",
"telephone_number": "516-455-3620",
"fax_number": "516-876-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSARO",
"first_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035774",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "041414",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0011924",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "18646",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "020220933",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18975",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T11990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.