John Joseph Perchiacca, REGISTERED PHARMACIS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

33501-01 Issued in NY

Practice address

48 Willow Wood LN
Staten Island, NY 10308-1869

Phone

(718) 317-5130

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1154449346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WILLOW WOOD LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081869",
            "telephone_number": "718-317-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WILLOW WOOD LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081869",
            "telephone_number": "718-317-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCHIACCA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "33501-01",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "33501-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Peralta, COTA
• Emily Peralta, M.S.
• Andrea Therese Perau
• Marina Perazzo, PA
• Lina Percaccio, MS. ED.
• Ellen P Percoco, RN
• Michael Robert Percoco, PT,DPT
• Lauren Percodani, OTR
• Carmela Percontra, RN, MS, CLT
• Athanassios Perdios, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.