Individual provider Active NPI

Peter Paul Ciancaglini, PHARM.D.

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1316988744
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043837 Issued in NY
Practice address
77 Ridgeland Road
University of Rochester Medical Center (Cmsu)
Rochester, NY 14623
Phone
(585) 350-3844
Fax
(585) 272-8307
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043837 NY Primary

Addresses

Primary practice location

77 Ridgeland Road
University of Rochester Medical Center (Cmsu)
Rochester, NY 14623

Mailing address

77 Ridgeland Road
Clinical Materials Services Unit (Cmsu)
Rochester, NY 14623
Phone (585) 350-3844

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
043837NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1316988744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 RIDGELAND ROAD",
            "address_2": "CLINICAL MATERIALS SERVICES UNIT (CMSU)",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-350-3844",
            "fax_number": "585-272-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 RIDGELAND ROAD",
            "address_2": "UNIVERSITY OF ROCHESTER MEDICAL CENTER (CMSU)",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-350-3844",
            "fax_number": "585-272-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCAGLINI",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.