Individual provider Active NPI

Salvatore Gagliardotto, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1407091333
Registry record updated Jan 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047134 Issued in NY
Practice address
1407 Madison Ave
New York, NY 10029-6930
Phone
(212) 722-3200
Fax
(212) 722-3978
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047134 NY Primary

Addresses

Primary practice location

1407 Madison Ave
New York, NY 10029-6930

Mailing address

16 Bayview LN
Staten Island, NY 10309-3637
Phone (718) 227-2820

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
047134NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264809600000",
    "number": "1407091333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BAYVIEW LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093637",
            "telephone_number": "718-227-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296930",
            "telephone_number": "212-722-3200",
            "fax_number": "212-722-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDOTTO",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2010-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; 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.