Active NPI
Joseph Gennardo, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1073744595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037972
- Practice address
- 406 E Fordham Rd
Bronx, NY 10458-5010 - Phone
- (718) 220-2461
- Fax
- (718) 220-2616
- NPI assigned
- Jul 31, 2009
- 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 | 037972 | NY | Primary |
Addresses
Primary practice location
406 E Fordham Rd
Bronx, NY 10458-5010
Mailing address
107 Lakeview Ave
Lynbrook, NY 11563-1754
Phone (516) 612-4523
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 |
|---|---|---|---|
| 037972 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1073744595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LAKEVIEW AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115631754",
"telephone_number": "516-612-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585010",
"telephone_number": "718-220-2461",
"fax_number": "718-220-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNARDO",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2022-02-15",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.