Active NPI
Donna Marie Siragusa, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1093995110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046351
- Practice address
- 1111 Pennsylvania Ave
Brooklyn, NY 11207-9000 - Phone
- (718) 272-0346
- Fax
- (718) 257-5746
- NPI assigned
- Nov 6, 2007
- 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 | 046351 | NY | Primary |
Addresses
Primary practice location
1111 Pennsylvania Ave
Brooklyn, NY 11207-9000
Mailing address
16010 Crossbay Blvd
Howard Beach, NY 11414-3423
Phone (718) 845-1066
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 |
|---|---|---|---|
| 046351 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1093995110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16010 CROSSBAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143423",
"telephone_number": "718-845-1066",
"fax_number": "718-845-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 PENNSYLVANIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112079000",
"telephone_number": "718-272-0346",
"fax_number": "718-257-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAGUSA",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.