Individual provider Active NPI

Amy Fiaschetti, B.S. - PHARMACY

  • Pharmacist
  • Syracuse, NY
National Provider Identifier
1336323708
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046071 Issued in NY
Practice address
3657 W Genesee St
T-2324
Syracuse, NY 13219-2003
Phone
(315) 233-0601
Fax
(315) 233-0601
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046071 NY Primary

Addresses

Primary practice location

3657 W Genesee St
T-2324
Syracuse, NY 13219-2003

Mailing address

4518 Makyes Rd
Syracuse, NY 13215-8711
Phone (315) 218-5003

Other identifiers 1

IdentifierTypeStateIssuer
02419730MedicaidNY

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
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1336323708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 MAKYES RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132158711",
            "telephone_number": "315-218-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 W GENESEE ST",
            "address_2": "T-2324",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192003",
            "telephone_number": "315-233-0601",
            "fax_number": "315-233-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIASCHETTI",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "B.S. - PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02419730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.