Individual provider Active NPI

Robert J Caputo, CPHT

  • Pharmacy Technician
  • Farmingdale, NY
National Provider Identifier
1093308801
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
30079994 Issued in NY
Practice address
69 Allen Blvd
Farmingdale, NY 11735-5614
Phone
(516) 482-0004
NPI assigned
Feb 12, 2021
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 30079994 NY Primary

Addresses

Primary practice location

69 Allen Blvd
Farmingdale, NY 11735-5614

Mailing address

69 Allen Blvd
Farmingdale, NY 11735-5614
Phone (516) 482-0004

Other identifiers 1

IdentifierTypeStateIssuer
1456315OtherNABP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.PRECISIONLTC.COM

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

LicenseStateTypeSpecialty
30079994NYMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Greatneck Chemists Inc PastSince Feb 14, 2021 Accepting new patients
Greatneck Chemists Inc PastSince Feb 14, 2021 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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1093308801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "30079994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1456315",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.PRECISIONLTC.COM",
            "affiliation": "N",
            "address_1": "69 Allen Blvd",
            "city": "Farmingdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117355614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 26, 2021; 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.