Active NPI
Anthony Guglielmo, R.PH
- Pharmacist
- Setauket, NY
National Provider Identifier
1295914554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043410
- Practice address
- 226 Route 25a
Setauket, NY 11733-2853 - Phone
- (631) 751-8100
- Fax
- (631) 751-0642
- NPI assigned
- Nov 2, 2007
- 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 | 043410 | NY | Primary |
Addresses
Primary practice location
226 Route 25a
Setauket, NY 11733-2853
Mailing address
226 Route 25a
Setauket, NY 11733-2853
Phone (631) 751-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00275567 | Medicaid | NY |
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 |
|---|---|---|---|
| 043410 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1295914554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 ROUTE 25A",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117332853",
"telephone_number": "631-751-8100",
"fax_number": "631-751-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 ROUTE 25A",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117332853",
"telephone_number": "631-751-8100",
"fax_number": "631-751-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIELMO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00275567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.