Individual provider Active NPI

Salvatore A Pagano, R.PH.

  • Pharmacist
  • New York, NY
National Provider Identifier
1447375969
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041712-1 Issued in NY
Practice address
4764 Broadway
New York, NY 10034-4916
Phone
(212) 304-9582
Fax
(212) 304-9713
NPI assigned
Mar 21, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I041712 NY
Pharmacist 183500000X 041712-1 NY Primary

Addresses

Primary practice location

4764 Broadway
New York, NY 10034-4916

Mailing address

4764 Broadway
New York, NY 10034-4916
Phone (212) 304-9582

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
041712-1NYMDPharmacist
I041712NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Drug at Broadway Inc CurrentSince Mar 26, 2023 Accepting new patients
Town Drug at Broadway Inc CurrentSince Apr 6, 2023 Accepting new patients

Locations

4764 Broadway
New York, NY 10034
Phone (212) 304-9582

4785 Broadway
New York, NY 10034
Phone (212) 304-9582

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1447375969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344916",
            "telephone_number": "212-304-9582",
            "fax_number": "212-304-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344916",
            "telephone_number": "212-304-9582",
            "fax_number": "212-304-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "SALVATORE",
        "middle_name": "A",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I041712",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041712-1",
            "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 Mar 21, 2023; 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.