Individual provider Active NPI

Alphonse A Gentile Jr., RPH.

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1285959759
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024558 Issued in NY
Practice address
99 Stuyvesant PL
Staten Island, NY 10301-1917
Phone
(718) 447-0333
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 024558 NY Primary

Addresses

Primary practice location

99 Stuyvesant PL
Staten Island, NY 10301-1917

Mailing address

99 Stuyvesant PL
Staten Island, NY 10301-1917
Phone (718) 447-0333

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
024558NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St George Pharmacy Inc CurrentSince Jan 19, 2025 Accepting new patients
St George Pharmacy Inc Pharmacist CurrentSince Apr 9, 2023 Accepting new patients

Locations

100 Stuyvesant Pl
Staten Island, NY 10301

99 Stuyvesant Pl
Staten Island, NY 10301
Phone (718) 447-0333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1285959759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011917",
            "telephone_number": "718-447-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011917",
            "telephone_number": "718-447-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "ALPHONSE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.