Individual provider Active NPI

Peter Camporese III

  • Pharmacist
  • Hopewell Junction, NY
National Provider Identifier
1366824567
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060153-1 Issued in NY
Practice address
800 Route 82
Suite a, BLDG 5
Hopewell Junction, NY 12533-7371
Phone
(845) 223-7858
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060153-1 NY Primary
Pharmacist 183500000X 0012927 CT

Addresses

Primary practice location

800 Route 82
Suite a, BLDG 5
Hopewell Junction, NY 12533-7371

Mailing address

800 Route 82
Suite a, BLDG 5
Hopewell Junction, NY 12533-7371

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
0012927CTMDPharmacist
060153-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JND Pharmacy Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1366824567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROUTE 82",
            "address_2": "SUITE A, BLDG 5",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROUTE 82",
            "address_2": "SUITE A, BLDG 5",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337371",
            "telephone_number": "845-223-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPORESE",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060153-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0012927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.