Active NPI
Maria Gambardella
- Pharmacist
- Copiague, NY
National Provider Identifier
1164662326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042187
- Practice address
- 1149 Sunrise Hwy
Copiague, NY 11726-1330 - Phone
- (631) 841-5067
- NPI assigned
- Mar 2, 2009
- Last updated
- Aug 9, 2014
- Sex
- Female
- 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 | 042187 | NY | Primary |
Addresses
Primary practice location
1149 Sunrise Hwy
Copiague, NY 11726-1330
Mailing address
1149 Sunrise Hwy
Copiague, NY 11726-1330
Phone (631) 841-5067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01562505 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042187 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407542400000",
"number": "1164662326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 SUNRISE HWY",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117261330",
"telephone_number": "631-841-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 SUNRISE HWY",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117261330",
"telephone_number": "631-841-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBARDELLA",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2014-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01562505",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Copiague, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.