Active NPI
Antonio M Disanto, RPH
- Pharmacist
- Elizabeth, NJ
National Provider Identifier
1407908288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI16411
- Practice address
- 509 Elizabeth Ave
Elizabeth, NJ 07206-1130 - Phone
- (908) 355-1784
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- 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 | RI16411 | NJ | Primary |
Addresses
Primary practice location
509 Elizabeth Ave
Elizabeth, NJ 07206-1130
Mailing address
706 Curtis Ave
Edison, NJ 08820-2344
Phone (732) 548-4914
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
| License | State | Type | Specialty |
|---|---|---|---|
| RI16411 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camacho Apothecary Inc | Past | Accepting new patients | |
| Camacho Apothecary Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Elizabeth, NJ
- NPI 1326979196
-
- Community/Retail Pharmacy
- Elizabeth, NJ
- NPI 1730169103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407908288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 CURTIS AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202344",
"telephone_number": "732-548-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072061130",
"telephone_number": "908-355-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISANTO",
"first_name": "ANTONIO",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI16411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.