Active NPI
Alfonse Desanto Jr., R. PH.
- Pharmacist
- East Stroudsburg, PA
National Provider Identifier
1306169164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP035068R
- Practice address
- 206 E Brown St
LVHN-Pocono
East Stroudsburg, PA 18301-3006 - Phone
- (570) 476-3455
- NPI assigned
- Mar 9, 2010
- 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 | RP035068R | PA | Primary |
Addresses
Primary practice location
206 E Brown St
LVHN-Pocono
East Stroudsburg, PA 18301-3006
Mailing address
711 Epirus HL
South Abington Township, PA 18411-8912
Phone (570) 269-0590
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 |
|---|---|---|---|
| RP035068R | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1306169164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 EPIRUS HL",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118912",
"telephone_number": "570-269-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"address_2": "LVHN-POCONO",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-476-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTO",
"first_name": "ALFONSE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035068R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.