Active NPI
Anthony Puliafico
- Pharmacist
- Northport, NY
National Provider Identifier
1609190008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029968-1
- Practice address
- 100 Main St
Northport, NY 11768-1723 - Phone
- (631) 261-7070
- Fax
- (631) 261-7171
- NPI assigned
- Mar 15, 2010
- Last updated
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 029968-1 | NY | Primary |
Addresses
Primary practice location
100 Main St
Northport, NY 11768-1723
Mailing address
100 Main St
Northport, NY 11768-1723
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029968-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northport Chemists 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": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1609190008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681723",
"telephone_number": "631-261-7070",
"fax_number": "631-261-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULIAFICO",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029968-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
- Taylor Ann Prodromakis, C.O.T.A
- Professional Occupational & Physical Therapy, PLLC
- Progressive Medical Fitness PC
- Dallas Prusi, LMSW
- Psychiatric Nurse Practitioner Services PC
- Leslie Andrea Pulvirenti, NP
- Lauren Puma
- Magdalena Del Pilar Pupiales, NP-C
- Barbara A Pushee, PT
- Quality Medical Fitness, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.