Individual provider Active NPI

Robert Charles Alessandri, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1457683500
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037102 Issued in NY
Practice address
167 Wyckoff Ave
Brooklyn, NY 11237-4303
Phone
(718) 497-3104
Fax
(718) 456-5141
NPI assigned
Jan 31, 2010
Last updated
Jan 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 037102 NY Primary

Addresses

Primary practice location

167 Wyckoff Ave
Brooklyn, NY 11237-4303

Mailing address

167 Wyckoff Ave
Brooklyn, NY 11237-4303
Phone (718) 497-3104

Other identifiers 1

IdentifierTypeStateIssuer
037102OtherNYNYS LICENSE NUMBER

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
037102NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marino Pharmacy Inc Current Accepting new patients

Locations

167 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 497-3104

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, 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": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264896000000",
    "number": "1457683500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374303",
            "telephone_number": "718-497-3104",
            "fax_number": "718-456-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374303",
            "telephone_number": "718-497-3104",
            "fax_number": "718-456-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSANDRI",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "037102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.