Active NPI
Peter Michael Montefusco
- Pharmacist
- Dover, DE
National Provider Identifier
1073898300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0001845
- Practice address
- 1001 Forrest Ave
Dover, DE 19904-3306 - Phone
- (302) 678-9820
- NPI assigned
- Oct 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0001845 | DE | Primary |
| Pharmacist | 183500000X | RP029092L | PA |
Addresses
Primary practice location
1001 Forrest Ave
Dover, DE 19904-3306
Mailing address
93 Candlewick Dr
Dover, DE 19901-5706
Phone (302) 697-8085
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 |
|---|---|---|---|
| A1-0001845 | DE | MD | Pharmacist |
| RP029092L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1073898300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 CANDLEWICK DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199015706",
"telephone_number": "302-697-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 FORREST AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199043306",
"telephone_number": "302-678-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEFUSCO",
"first_name": "PETER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0001845",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029092L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.