Active NPI
Raymond Macioci, RPH
- Pharmacist
- Bronx, NY
National Provider Identifier
1477540029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028094
- Practice address
- 2941 Westchester Ave
Bronx, NY 10461-4534 - Phone
- (718) 828-0498
- Fax
- (718) 828-7491
- NPI assigned
- Sep 29, 2005
- 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 | 028094 | NY | Primary |
Addresses
Primary practice location
2941 Westchester Ave
Bronx, NY 10461-4534
Mailing address
136 Oakland Ave
Tuckahoe, NY 10707-1733
Phone (914) 395-1851
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 |
|---|---|---|---|
| 028094 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pilgrim Pharmacy Inc | Past | Accepting new patients | |
| Pilgrim Pharmacy 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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1427045061
-
- Long Term Care Pharmacy
- Bronx, NY
- NPI 1710683123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1477540029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 OAKLAND AVE",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107071733",
"telephone_number": "914-395-1851",
"fax_number": "718-828-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104614534",
"telephone_number": "718-828-0498",
"fax_number": "718-828-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIOCI",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "028094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.