Christina M Squillante, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

066296 Issued in NY

Practice address

1815 Wading River Manor Rd
Wading River, NY 11792-2193

Phone

(631) 929-0280

Fax

(631) 929-0286

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Walgreen Co

  • Pharmacy
  • Wading River, NY
  • NPI 1629234869
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1104391572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 WADING RIVER MANOR RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922193",
            "telephone_number": "631-929-0280",
            "fax_number": "631-929-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 WADING RIVER MANOR RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922193",
            "telephone_number": "631-929-0280",
            "fax_number": "631-929-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Saint Johnsbury",
            "state": "VT",
            "postal_code": "058191633",
            "country_code": "US",
            "telephone_number": "802-748-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "724 Glen St",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128042019",
            "country_code": "US",
            "telephone_number": "518-793-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Broad St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014146",
            "country_code": "US",
            "telephone_number": "518-793-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUILLANTE",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-04561",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0134154",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Simon, LCSW
• Liron Sinn
• Katharine Smith, M.S.CCC-SLP
• Melissa Ann Smith, LMSW
• Raegan M Smith, RN
• St. Charles Hospital
• Brittany Nicole Staker, MA, CCC-SLP
• Sabrina Gabrielle Storms, LMSW
• Danae A Sue
• Karen Gail Sulitzer, D.O.

• Pharmacist in Wading River, NY
• Providers in Wading River, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.