Individual provider Active NPI

Philip Sicoli, R.PH

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1275857781
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044248 Issued in NY
Practice address
7 Delaware Dr
New Hyde Park, NY 11042-1116
Phone
(800) 724-6996
Fax
(800) 210-6256
NPI assigned
Mar 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044248 NY Primary
Pharmacist 183500000X RP441684 PA

Addresses

Primary practice location

7 Delaware Dr
New Hyde Park, NY 11042-1116

Mailing address

502 S 11TH St
New Hyde Park, NY 11040-5561
Phone (516) 358-4005

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
044248NYMDPharmacist
RP441684PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1275857781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S 11TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405561",
            "telephone_number": "516-358-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DELAWARE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421116",
            "telephone_number": "800-724-6996",
            "fax_number": "800-210-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICOLI",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044248",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.