Active NPI
Danielle M Graci, PHARM.D.
- Pharmacist
- Farmingdale, NY
National Provider Identifier
1073778882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044391
- Practice address
- 100 Willow Park Ctr
T 1866
Farmingdale, NY 11735-1001 - Phone
- (631) 962-0271
- Fax
- (631) 962-0271
- NPI assigned
- Jul 21, 2008
- Last updated
- Jul 21, 2008
- Sex
- Female
- 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 | 044391 | NY | Primary |
Addresses
Primary practice location
100 Willow Park Ctr
T 1866
Farmingdale, NY 11735-1001
Mailing address
100 Willow Park Center
T 1866
Farmingdale, NY 11793
Phone (631) 962-0271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02531588 | Medicaid | NY |
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1073778882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILLOW PARK CENTER",
"address_2": "T 1866",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11793",
"telephone_number": "631-962-0271",
"fax_number": "631-962-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILLOW PARK CTR",
"address_2": "T 1866",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351001",
"telephone_number": "631-962-0271",
"fax_number": "631-962-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACI",
"first_name": "DANIELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02531588",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.