Jeanine Elise Gentile

Primary specialty

PharmacistTaxonomy code 183500000X

License

047891-1 Issued in NY

Practice address

450 Main St
Farmingdale, NY 11735-3509

Phone

(516) 845-1044

Fax

(516) 293-2125

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jeanine Elise Nuccio Former name

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1245409028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 LAUREL LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932777",
            "telephone_number": "516-804-8509",
            "fax_number": "516-293-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353509",
            "telephone_number": "516-845-1044",
            "fax_number": "516-293-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "JEANINE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047891-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "047891-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "NUCCIO",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Gascon
• Kerri Gavan, LPN
• Richard Gawrysiak, RPH
• Cynthia Jean Gehlbach, R.N.
• Tara Gensler
• Suzanna Gershkovich, M.S. SLP-CCC
• Laurie Ann Gerula, PT
• Christina Gigante
• Peter Andrew Gillen, OTR/L
• Shannen Gillespie

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

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