Individual provider Active NPI

Joseph Michael Geraci

  • Pharmacist
  • East Aurora, NY
National Provider Identifier
1164946331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063060 Issued in NY
Practice address
597 Oakwood Ave
East Aurora, NY 14052-2333
Phone
(716) 652-1360
Fax
(716) 655-0132
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063060 NY Primary

Addresses

Primary practice location

597 Oakwood Ave
East Aurora, NY 14052-2333

Mailing address

597 Oakwood Ave
East Aurora, NY 14052-2333
Phone (716) 652-1360

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

LicenseStateTypeSpecialty
063060NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutowski of East Aurora Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

597 Oakwood Ave
East Aurora, NY 14052
Phone (716) 652-1360

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164946331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522333",
            "telephone_number": "716-652-1360",
            "fax_number": "716-655-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OAKWOOD AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522333",
            "telephone_number": "716-652-1360",
            "fax_number": "716-655-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.