Individual provider Active NPI

Barbara Ann Gravino, RPH

  • Pharmacist
  • Bayside, NY
National Provider Identifier
1528186848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049641 Issued in NY
Practice address
4320 Bell Blvd
Bayside, NY 11361-2865
Phone
(718) 631-8208
Fax
(718) 631-1419
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049641 NY Primary

Addresses

Primary practice location

4320 Bell Blvd
Bayside, NY 11361-2865

Mailing address

4320 Bell Blvd
Bayside, NY 11361-2865
Phone (718) 631-8208

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528186848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612865",
            "telephone_number": "718-631-8208",
            "fax_number": "718-631-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612865",
            "telephone_number": "718-631-8208",
            "fax_number": "718-631-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVINO",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.