Active NPI
Jill M Poluzzi
- Pharmacist
- Pine Bush, NY
National Provider Identifier
1386722601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040944
- Practice address
- 31 Ted Dr
Pine Bush, NY 12566-7032 - Phone
- (845) 744-2113
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 040944 | NY | Primary |
Addresses
Primary practice location
31 Ted Dr
Pine Bush, NY 12566-7032
Mailing address
1215 Route 44 55
Clintondale, NY 12515-5120
Phone (845) 883-7545
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 |
|---|---|---|---|
| 040944 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1386722601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 ROUTE 44 55",
"city": "CLINTONDALE",
"state": "NY",
"postal_code": "125155120",
"telephone_number": "845-883-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 TED DR",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667032",
"telephone_number": "845-744-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLUZZI",
"first_name": "JILL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.