Individual provider Active NPI

Michael V Giordano, RPH

  • Pharmacist
  • Millbrook, NY
National Provider Identifier
1407178346
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0033121 Issued in NY
Practice address
3272 Franklin Ave
Millbrook, NY 12545-5975
Phone
(845) 677-3223
Fax
(845) 677-3225
NPI assigned
Feb 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 0033121 NY Primary

Addresses

Primary practice location

3272 Franklin Ave
Millbrook, NY 12545-5975

Mailing address

PO Box 557
Millbrook, NY 12545-0557
Phone (845) 677-3223

Other identifiers 1

IdentifierTypeStateIssuer
00972541MedicaidNY

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
0033121NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincents 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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1407178346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125450557",
            "telephone_number": "845-677-3223",
            "fax_number": "845-677-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 FRANKLIN AVE",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455975",
            "telephone_number": "845-677-3223",
            "fax_number": "845-677-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0033121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.