Robert John Caruso II, PHARM.D
Individual provider Active NPI Pharmacist · Selden, NY
NPI 1265764476 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1265764476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 054166 (NY)
- Practice address
- 822 Middle Country Rd
Selden, NY 11784-2506 - Phone
- (631) 698-3102
- NPI assigned
- Feb 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054166 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054166 | NY | Yes |
Addresses
Primary practice location
822 Middle Country Rd
Selden, NY 11784-2506
Mailing address
52 S Ruland Rd
Selden, NY 11784-2402
Phone (623) 221-9194
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. 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.