Active NPI
Fidele John Fanelli, RPH
- Pharmacist
- New Hartford, NY
National Provider Identifier
1083938294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025484
- Practice address
- 44 Genesee St
New Hartford, NY 13413-2337 - Phone
- (315) 732-1615
- Fax
- (315) 732-3604
- NPI assigned
- Mar 16, 2010
- Last updated
- Mar 16, 2010
- 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 | 025484 | NY | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 025484 | NY |
Addresses
Primary practice location
44 Genesee St
New Hartford, NY 13413-2337
Mailing address
3065 Mohawk St
Sauquoit, NY 13456-2907
Phone (315) 737-1809
Other names 1
- Mr. Phil Fanelli
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 |
|---|---|---|---|
| 025484 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Drugs Inc | Past | Accepting new patients | |
| Chelsea Drugs Inc | Past | Accepting new patients |
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, 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": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1083938294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3065 MOHAWK ST",
"city": "SAUQUOIT",
"state": "NY",
"postal_code": "134562907",
"telephone_number": "315-737-1809",
"fax_number": "315-737-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132337",
"telephone_number": "315-732-1615",
"fax_number": "315-732-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLI",
"first_name": "FIDELE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "025484",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "025484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHIL",
"last_name": "FANELLI",
"prefix": "MR.",
"credential": "PHARMACIST",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.