Active NPI
Joseph John Tarantola, PHARMACIST
- Pharmacist
- Kings Park, NY
National Provider Identifier
1366674202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030346
- Practice address
- 62 Indian Head Rd
Kings Park, NY 11754-3703 - Phone
- (631) 269-2727
- Fax
- (631) 269-7315
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 030346 | NY | Primary |
Addresses
Primary practice location
62 Indian Head Rd
Kings Park, NY 11754-3703
Mailing address
55 Colonial Rd
Copiague, NY 11726-3526
Phone (631) 327-7174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 030346 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winn Drugs | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Kings Park, NY
- NPI 1538211511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1366674202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COLONIAL RD",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117263526",
"telephone_number": "631-327-7174",
"fax_number": "631-269-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 INDIAN HEAD RD",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117543703",
"telephone_number": "631-269-2727",
"fax_number": "631-269-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTOLA",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "030346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.