Active NPI
Raymond J Poluzzi LLL, RPH
- Pharmacist
- Highland, NY
National Provider Identifier
1144308461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038231
- Practice address
- 3650 US Highway 9W
Highland, NY 12528-2033 - Phone
- (845) 691-9155
- NPI assigned
- Nov 2, 2006
- 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 | 038231 | NY | Primary |
Addresses
Primary practice location
3650 US Highway 9W
Highland, NY 12528-2033
Mailing address
1215 Route 44 55
Clintondale, NY 12515-5120
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 |
|---|---|---|---|
| 038231 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Foods of South Burlington, LLC | Past | Accepting new patients | |
| Martins Foods of South Burlington LLC | 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.
-
- Community/Retail Pharmacy
- Troy, NY
- NPI 1306574215
-
- Community/Retail Pharmacy
- Highland, NY
- NPI 1861500241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144308461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 ROUTE 44 55",
"city": "CLINTONDALE",
"state": "NY",
"postal_code": "125155120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 US HIGHWAY 9W",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125282033",
"telephone_number": "845-691-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLUZZI LLL",
"first_name": "RAYMOND",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.