Delco Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035497 Issued in NY

Legal business name

DELCO PHARMACY CORP

Practice address

71 E Old Country Rd
Hicksville, NY 11801-4200

Phone

(516) 719-5919

Fax

(516) 719-5920

NPI assigned

May 13, 2017

Organization subpart

No

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

Authorized official

Name

Jordana Siegel

Title

President

Phone

(516) 719-5919

Specialties & licenses 1

Addresses

Other names 1

• Pro Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystle Mary Tantillo, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hicksville, NY
  • NPI 1609563527
  NPD
• Danielle Teresa Nina, PHARMACIST

  • Pharmacist
  • New Hyde Park, NY
  • NPI 1063088367
  NPD (past)

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

{
    "created_epoch": "1494633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487181012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014200",
            "telephone_number": "516-719-5919",
            "fax_number": "516-719-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014200",
            "telephone_number": "516-719-5919",
            "fax_number": "516-719-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-719-5919"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Defeo, LCSW, CASAC
• Ridjie Degraff-Tocays
• Lance Deguzman, M.S, OTR/L
• Clare M. Deignan
• Claire Delargy
• Delta Chiropractic PC
• Stacey M Deluca, OT
• Sara Demarino, LMSW
• Debra Demartino, LCSW
• Garcelle Demesyeux, M.A., CF-SLP

• Community/Retail Pharmacy in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.