Individual provider Active NPI

Thomas Anthony Forleo, RPH

  • Pharmacist
  • Cicero, NY
National Provider Identifier
1336325133
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
035264 Issued in NY
Practice address
7939 Brewerton Rd
Cicero, NY 13039-9561
Phone
(315) 699-6384
Fax
(315) 699-6824
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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 035264 NY Primary

Addresses

Primary practice location

7939 Brewerton Rd
Cicero, NY 13039-9561

Mailing address

7939 Brewerton Rd
Cicero, NY 13039-9561
Phone (315) 699-6384

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

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1336325133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399561",
            "telephone_number": "315-699-6384",
            "fax_number": "315-699-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399561",
            "telephone_number": "315-699-6384",
            "fax_number": "315-699-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLEO",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.