Individual provider Active NPI

Gail V Mickaliger, RPH

  • Pharmacist
  • Hauppauge, NY
National Provider Identifier
1275732000
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30535 Issued in NY
Practice address
225 Rabro Dr
Central Pharmacy
Hauppauge, NY 11788-4241
Phone
(631) 853-3157
Fax
(631) 853-2906
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30535 NY Primary

Addresses

Primary practice location

225 Rabro Dr
Central Pharmacy
Hauppauge, NY 11788-4241

Mailing address

2386 River Rd
Calverton, NY 11933-1647
Phone (631) 853-3157

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
30535NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1275732000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 RIVER RD",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "119331647",
            "telephone_number": "631-853-3157",
            "fax_number": "631-853-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RABRO DR",
            "address_2": "CENTRAL PHARMACY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884241",
            "telephone_number": "631-853-3157",
            "fax_number": "631-853-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKALIGER",
        "first_name": "GAIL",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "30535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.