City Island Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021389 Issued in NY

Legal business name

CITY ISLAND PHARMACY INC

Practice address

290 City Island Ave
Bronx, NY 10464-1433

Phone

(718) 885-3053

Fax

(718) 885-2632

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Joseph Miccarelli, RPHNPI 1861716987

Title

President

Phone

(718) 885-3053

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CITY ISLAND PHARMACY INC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Miccarelli, RPH

  • Pharmacist
  • Pawleys Island, SC
  • NPI 1861716987
  NPD (past) Authorized official
• Antonella A Miccarelli

  • Pharmacist
  • Bronx, NY
  • NPI 1669796785
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1366439317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CITY ISLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641433",
            "telephone_number": "718-885-3053",
            "fax_number": "718-885-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CITY ISLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641433",
            "telephone_number": "718-885-3053",
            "fax_number": "718-885-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY ISLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "MICCARELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-885-3053",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "021389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01525933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY ISLAND PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citibrites Dental Baychester LLC
• Citimed 360 PC
• Citipro-Group
• Marjory R Citron, OTR/L
• City Island Dental, PC
• City Medical of Upper East Side PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.