Individual provider Active NPI

Anthony M Maddalena, PHARMACIST

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1316269129
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024408 Issued in NY
Practice address
13 Ann Marie PL
Yonkers, NY 10703-1117
Phone
(914) 968-5644
Fax
(914) 457-7626
NPI assigned
Feb 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 024408 NY Primary

Addresses

Primary practice location

13 Ann Marie PL
Yonkers, NY 10703-1117

Mailing address

13 Ann Marie PL
Yonkers, NY 10703-1117
Phone (914) 968-5644

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

State licenses

LicenseStateTypeSpecialty
024408NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1316269129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ANN MARIE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031117",
            "telephone_number": "914-968-5644",
            "fax_number": "914-457-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ANN MARIE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031117",
            "telephone_number": "914-968-5644",
            "fax_number": "914-457-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALENA",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.