Individual provider Active NPI

Philip Deluccia, R.PH.

  • Pharmacist
  • Mamaroneck, NY
National Provider Identifier
1366620213
Registry record updated Feb 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33751 Issued in NY
Practice address
1100 E Boston Post Rd
Mamaroneck, NY 10543-4114
Phone
(914) 698-3414
Fax
(914) 698-2616
NPI assigned
Feb 2, 2008
Last updated
Feb 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 33751 NY Primary

Addresses

Primary practice location

1100 E Boston Post Rd
Mamaroneck, NY 10543-4114

Mailing address

1100 E Boston Post Rd
Mamaroneck, NY 10543-4114
Phone (914) 698-3414

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

State licenses

LicenseStateTypeSpecialty
33751NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1366620213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434114",
            "telephone_number": "914-698-3414",
            "fax_number": "914-698-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434114",
            "telephone_number": "914-698-3414",
            "fax_number": "914-698-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCCIA",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "33751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.