Coral Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORAL PHARMACY INC

Doing business as

Coral Pharmacy

Practice address

4126 Broadway
New York, NY 10033-3703

Phone

(212) 795-3894

Fax

(212) 795-3894

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Licciardello, RPH

Title

Supervising Pharmacist

Phone

(212) 795-3894

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CORAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1184635724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333703",
            "telephone_number": "212-795-3894",
            "fax_number": "212-795-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LICCIARDELLO",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-795-3894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "027845",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3375929",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jagger Corabi, MD
• Victoria Almeas Corabi, NP
• Laura Marie Coraci, M.A.
• Lenny Coraci, NP
• Jenny Cristina Coraisaca
• Katrina Corallino, RN
• Janette Corallo, N.N.P
• Ashley Corasaniti
• Ileana Corbelle, LCSW
• Adriana Dionigi Corben, MD

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.