Vincenzo Amato, RPH
Individual provider Active NPI Pharmacist · Jackson Heights, NY
NPI 1235312489 · NPPES record last updated Dec 11, 2007
Key facts
- NPI
- 1235312489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 048218 (NY)
- Practice address
- 8510 Northern Blvd
Jackson Heights, NY 11372-1543 - Phone
- (718) 476-3087
- NPI assigned
- Dec 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048218 | NY | Yes |
Addresses
Primary practice location
8510 Northern Blvd
Jackson Heights, NY 11372-1543
Mailing address
8510 Northern Blvd
Jackson Heights, NY 11372-1543
Phone (718) 476-3087
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01507551 | Medicaid | NY |
Other providers in Jackson Heights, NY
- Alza Physical Therapy PC
- Ronald Fernando Alzate Arroyave
- Heather Marie Alzate
- Kattia E Amadias
- Jerome Lucena Amanquiton
- Katherine Laing Ambia
- American Planet Physical Therapy PC
- Americanos Optical Corp
- Ames Dental.P.C
- Natasha Anushri Anandaraja
All providers in Jackson Heights, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.