Stacy Delva

Primary specialty

PharmacistTaxonomy code 183500000X

License

064051 Issued in NY

Practice address

901 Merrick Rd
Copiague, NY 11726-4903

Phone

(631) 842-8096

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1194374082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ASHLEY DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MERRICK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264903",
            "telephone_number": "631-842-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21260302",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Copaigue",
            "affiliation": "N",
            "address_1": "901 Merrick Rd",
            "city": "Copiague",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117264903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aiyana Deflorimonte
• Alexis Michelle Defreitas-Chase, LPN
• Leslye Soledad Del Carpio Gomez, LPN
• Diane Delissio, PTA
• Patricia Delorme
• Toni A Demarco, FNP
• Theresa Dember-Neal, L.AC.
• Vaishali Deshmukh, PHARM D.
• Heather Deutsch, CRC, LMHC
• Jolie Dichter, PSY.D.

• Pharmacist in Copiague, NY
• Providers in Copiague, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.