Active NPI
Marietta Rondinelli
- Pharmacist
- Staten Island, NY
National Provider Identifier
1427447366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030554
- Practice address
- 121 McClean Ave
Staten Island, NY 10305-4655 - Phone
- (718) 447-3117
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 030554 | NY | Primary |
Addresses
Primary practice location
121 McClean Ave
Staten Island, NY 10305-4655
Mailing address
162 Glenn Rd
Staten Island, NY 10314-4907
Phone (718) 370-1754
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 |
|---|---|---|---|
| 030554 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrochar Pharmacy Inc | Pharmacist | 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": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1427447366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 GLENN RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144907",
"telephone_number": "718-370-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MCCLEAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054655",
"telephone_number": "718-447-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDINELLI",
"first_name": "MARIETTA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "030554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.