Domenica Mary O'Donnell, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

049721 Issued in NY

Practice address

9005 Old River Rd
Marcy, NY 13403-3000

Phone

(315) 765-3778

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

• Domenica Mary Pacific Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2013.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1619001617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 OLD RIVER RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134033000",
            "telephone_number": "315-765-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 OLD RIVER RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134033000",
            "telephone_number": "315-765-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "DOMENICA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMENICA",
            "last_name": "PACIFIC",
            "middle_name": "MARY",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richelle Murray, RN
• Jennifer Jean Nellis, RN
• Sarah W Nelson
• Nys Office of Mental Health
• Madeleine M O'Brien
• Shauna Alise Ogden, RN
• Amy Palmer, LPN
• James Anthony Palombo
• Shelly Pasquarelli, RN
• Karen Ann Peruzzi, CSW

• All providers in Marcy, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.