Individual provider Active NPI

Gaetano B Piccirillo Jr., PHARM.D.

  • Pharmacist
  • Warwick, RI
National Provider Identifier
1396028478
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH04472 Issued in RI
Practice address
469 Centerville Rd
Suite# 106
Warwick, RI 02886-4354
Phone
(401) 739-1732
NPI assigned
Sep 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH04472 RI Primary

Addresses

Primary practice location

469 Centerville Rd
Suite# 106
Warwick, RI 02886-4354

Mailing address

469 Centerville Rd
Suite# 106
Warwick, RI 02886-4354
Phone (401) 739-1732

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH04472RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1396028478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE# 106",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "401-739-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE# 106",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "401-739-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIRILLO",
        "first_name": "GAETANO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH04472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.