Individual provider Active NPI

Mario Vincent Beccari, PHARMD

  • Pharmacist
  • Lewiston, NY
National Provider Identifier
1316672199
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063447 Issued in NY
Practice address
4915 Creek Road Ext
Lewiston, NY 14092-1846
Phone
(716) 523-7051
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063447 NY Primary

Addresses

Primary practice location

4915 Creek Road Ext
Lewiston, NY 14092-1846

Mailing address

4915 Creek Road Ext
Lewiston, NY 14092-1846
Phone (716) 523-7051

Other practice location 1

301 Connecticut St
Buffalo, NY 14213-2541
Phone (716) 923-4603

Other practice location 2

320 Porter Ave
Buffalo, NY 14201-1032
Phone (716) 829-8318

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
063447NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1316672199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 CREEK ROAD EXT",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921846",
            "telephone_number": "716-523-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 CREEK ROAD EXT",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921846",
            "telephone_number": "716-523-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Connecticut St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142132541",
            "country_code": "US",
            "telephone_number": "716-923-4603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142011032",
            "country_code": "US",
            "telephone_number": "716-829-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECCARI",
        "first_name": "MARIO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.