Coleen Marie Radocaj, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

048738 Issued in NY

Practice address

630 N Wellwood Ave
Lindenhurst, NY 11757-1634

Phone

(631) 957-2720

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Genovese Drug Stores Inc

  dba Rite Aid Pharmacy

  • Community/Retail Pharmacy
  • Lindenhurst, NY
  • NPI 1477652709
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1083893440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15168 23RD AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571634",
            "telephone_number": "631-957-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOCAJ",
        "first_name": "COLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Puzo, LCSW
• Andrea Quintana, DO
• Alfred Michael Quiocho
• Aline Lys Rabel
• Glenn E. Rabin, MD
• Mahvash Rafii, MD
• Urszula Krystyna Rakowska, MD
• Brenda Marie Randolph, LMT
• Carlyne Raphael
• Robyn Reeves

• Pharmacist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.