Individual provider Active NPI

Richard Thomas Zuzzio, RPH

  • Pharmacist
  • Medford, NY
National Provider Identifier
1205013836
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046547 Issued in NY
Practice address
2608 Route 112
Medford, NY 11763-2551
Phone
(631) 475-4476
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046547 NY Primary

Addresses

Primary practice location

2608 Route 112
Medford, NY 11763-2551

Mailing address

2608 Route 112
Medford, NY 11763-2551
Phone (631) 475-4476

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
046547NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1205013836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632551",
            "telephone_number": "631-475-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632551",
            "telephone_number": "631-475-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUZZIO",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.