Active NPI
Jessica Emily Macauda, PHARM.D.
- Pharmacist
- Staten Island, NY
National Provider Identifier
1508171901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20 054963
- Practice address
- 5830 Amboy Rd
Staten Island, NY 10309-3109 - Phone
- (718) 966-9278
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- 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 | 20 054963 | NY | Primary |
Addresses
Primary practice location
5830 Amboy Rd
Staten Island, NY 10309-3109
Mailing address
16 Annadale Rd
Staten Island, NY 10312-1502
Phone (917) 385-0707
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20 054963 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1508171901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ANNADALE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121502",
"telephone_number": "917-385-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093109",
"telephone_number": "718-966-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAUDA",
"first_name": "JESSICA",
"middle_name": "EMILY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20 054963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
- Joseph Dominick Macaluso, RPH.
- Barbara Jane Macari
- Jaime Lynn Macari
- Lynn Marcia Macarin-Mara, LCSW,CSW,
- Virginia Macatangay, M.D.
- Rebecca L Maccabee, MA, CF-SLP, TSSLD
- Jennifer I Macchiarola, RN
- Thomas Richard Macdougall, MSED, NCSP
- Gregor Vincent Macduffie, LCSW
- Samantha Caroline Maceda, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.