Steven Bianco, RPH
Individual provider Active NPI Pharmacist · Chester, NY
NPI 1124340591 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1124340591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033725 (NY)
- Practice address
- 72 Brookside Ave
Chester, NY 10918-1070 - Phone
- (845) 469-6310
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033725 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033725 | NY | Yes |
Addresses
Primary practice location
72 Brookside Ave
Chester, NY 10918-1070
Mailing address
72 Brookside Ave
Chester, NY 10918-1070
Phone (845) 469-6310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02752481 | Medicaid | NY |
Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.