NPIMap

Individual provider Active NPI

Alyssa Marie Cinque, PHARMD

  • Pharmacist
  • Wellsville, NY
National Provider Identifier
1578072690
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I060550-1 Issued in NY
Practice address
4175 State Route 417
Wellsville, NY 14895-0539
Phone
(585) 593-1232
Fax
(585) 593-4950
NPI assigned
Sep 20, 2017
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I060550-1 NY Primary
Ambulatory Care Pharmacist 1835P2201X 060550 NY

Addresses

Primary practice location

4175 State Route 417
Wellsville, NY 14895-0539

Mailing address

4175 State Route 417
Wellsville, NY 14895-0539
Phone (585) 593-1232

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL RXM.11984@store.walgreens.com
Other URL rxm.18976@store.walgreens.com Direct

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

LicenseStateTypeSpecialty
I060550-1NYMDPharmacist
060550NYMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 30, 2022 Accepting new patients
Walgreen Eastern Co Inc Past Accepting new patients
Walgreen Eastern Co Inc Past Accepting new patients
Walgreen Co PastSince Oct 30, 2022 Accepting new patients

Locations

110 Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-1232

4175 State Route 417 W
Wellsville, NY 14895
Phone (585) 593-1232

Organizations & group practices 4

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1578072690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 STATE ROUTE 417",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148950539",
            "telephone_number": "585-593-1232",
            "fax_number": "585-593-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 STATE ROUTE 417",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148950539",
            "telephone_number": "585-593-1232",
            "fax_number": "585-593-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINQUE",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I060550-1",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "060550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RXM.11984@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "3242 Route 39",
            "city": "Yorkshire",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.18976@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacy",
            "address_1": "110 Bolivar Rd",
            "city": "Wellsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148959303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.