Active NPI
Salvatore Anthony Marcello, PHARM. D.
- Pharmacist
- Staten Island, NY
National Provider Identifier
1114495652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064925
- Practice address
- 955 Manor Rd
Staten Island, NY 10314-7009 - Phone
- (718) 983-7390
- NPI assigned
- Nov 2, 2018
- Sex
- Male
- 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 | 064925 | NY | Primary |
Addresses
Primary practice location
955 Manor Rd
Staten Island, NY 10314-7009
Mailing address
955 Manor Rd
Staten Island, NY 10314-7009
Phone (718) 983-7390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064925 | Other | NY | PHARMACY LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064925 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Staten Island, NY
- NPI 1437358124
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1114495652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 MANOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147009",
"telephone_number": "718-983-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MANOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147009",
"telephone_number": "718-983-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLO",
"first_name": "SALVATORE",
"middle_name": "ANTHONY",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-02",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "064925",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.