Active NPI
Darcie A Phillips Sivacek
- Pharmacist
- Garden City Park, NY
National Provider Identifier
1528237419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046634
- Practice address
- 2305 Jericho Tpke
Garden City Park, NY 11040-4709 - Phone
- (516) 741-1510
- NPI assigned
- Feb 25, 2008
- Last updated
- Feb 25, 2008
- 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 | 046634 | NY | Primary |
Addresses
Primary practice location
2305 Jericho Tpke
Garden City Park, NY 11040-4709
Mailing address
24 Godfrey Ave
Bayville, NY 11709-2702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046634 | Other | NEW YORK STATE | |
| 02770785 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients |
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": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1528237419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GODFREY AVE",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117092702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 JERICHO TPKE",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110404709",
"telephone_number": "516-741-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS SIVACEK",
"first_name": "DARCIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE",
"identifier": "046634",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02770785",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden City Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.