Individual provider Active NPI

Cyril Manuel C Collantes, PHARMD

  • Pharmacist
  • Astoria, NY
National Provider Identifier
1154877314
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
062251 Issued in NY
Practice address
4707 Broadway
Astoria, NY 11103-1629
Phone
(718) 726-0801
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 062251 NY Primary

Addresses

Primary practice location

4707 Broadway
Astoria, NY 11103-1629

Mailing address

7 Fairway CT
Scotch Plains, NJ 07076-3001
Phone (908) 499-3435

Other names 1

  • Dr. Cyril C Collantes Other name

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

LicenseStateTypeSpecialty
062251NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1154877314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FAIRWAY CT",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763001",
            "telephone_number": "908-499-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031629",
            "telephone_number": "718-726-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLANTES",
        "first_name": "CYRIL MANUEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYRIL",
            "last_name": "COLLANTES",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.