Individual provider Active NPI

Vincent Fusaro, RPH

  • Pharmacist
  • Westbury, NY
National Provider Identifier
1063741346
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035774 Issued in NY
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

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
041414ARMDPharmacist
18975LAMDPharmacist
T11990MSMDPharmacist
035774NYMDPharmacist
0011924ORMDPharmacist
18646TNMDPharmacist
020220933VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Positudes Inc CurrentSince May 11, 2025 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.

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.

Verify at the official NPI Registry.