Active NPI
Richard J Degiulio, RPH
- Pharmacist
- Lewiston, NY
National Provider Identifier
1285817460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033260-1
- Practice address
- 220 Portage Rd
Lewiston, NY 14092-1766 - Phone
- (716) 405-7821
- Fax
- (716) 405-7824
- NPI assigned
- Dec 11, 2007
- Last updated
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033260-1 | NY | Primary |
Addresses
Primary practice location
220 Portage Rd
Lewiston, NY 14092-1766
Mailing address
393 Wingate PL
Youngstown, NY 14174-1134
Phone (716) 745-7274
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
| License | State | Type | Specialty |
|---|---|---|---|
| 033260-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Degiulio's Pharmacy, Inc. | Current | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Lewiston, NY
- NPI 1588176796
-
dba Rite Aid Pharmacy 03500
- Community/Retail Pharmacy
- Ransomville, NY
- NPI 1427167907
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1285817460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 WINGATE PL",
"city": "YOUNGSTOWN",
"state": "NY",
"postal_code": "141741134",
"telephone_number": "716-745-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 PORTAGE RD",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921766",
"telephone_number": "716-405-7821",
"fax_number": "716-405-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGIULIO",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "033260-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.