Individual provider Active NPI

Dana Brianne Guccione, PHARMACY INTERN

  • Student in an Organized Health Care Education/Training Program
  • Binghamton, NY
National Provider Identifier
1366010522
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
101697 Issued in NY
Practice address
Weis Markets
160 Robinson St.
Binghamton, NY 13901
Phone
(607) 762-5409
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 101697 NY Primary

Addresses

Primary practice location

Weis Markets
160 Robinson St.
Binghamton, NY 13901

Mailing address

158 Hawley St Apt 5
Binghamton, NY 13901-4051
Phone (914) 806-7936

Other identifiers 1

IdentifierTypeStateIssuer
101697OtherNYPHARMACY INTERN LICENSE

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
101697NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1366010522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HAWLEY ST APT 5",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139014051",
            "telephone_number": "914-806-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEIS MARKETS",
            "address_2": "160 ROBINSON ST.",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13901",
            "telephone_number": "607-762-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCCIONE",
        "first_name": "DANA",
        "middle_name": "BRIANNE",
        "credential": "PHARMACY INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "101697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY INTERN LICENSE",
            "identifier": "101697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.