Michael John Zandri, R.PH.
Individual provider Active NPI Pharmacist · N Syracuse, NY
NPI 1295057883 · NPPES record last updated Feb 23, 2010
Key facts
- NPI
- 1295057883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36287 (NY)
- Practice address
- 342 Northern Lights Dr
N Syracuse, NY 13212-4127 - Phone
- (315) 455-7925
- Fax
- (315) 455-5475
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36287 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnicare of New York, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36287 | NY | Yes |
Addresses
Primary practice location
342 Northern Lights Dr
N Syracuse, NY 13212-4127
Mailing address
342 Northern Lights Dr
N Syracuse, NY 13212-4127
Phone (315) 455-7925
Other providers in N Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 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.