Active NPI
Nicole Marie Campanella I, R.PH.
- Pharmacist
- New York, NY
National Provider Identifier
1629282157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048766
- Practice address
- 1200 1St Ave
New York, NY 10021-7105 - Phone
- (212) 734-6998
- NPI assigned
- May 10, 2007
- Last updated
- Mar 4, 2008
- Sex
- Female
- 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 | 048766 | NY | Primary |
Addresses
Primary practice location
1200 1St Ave
New York, NY 10021-7105
Mailing address
7920 69TH Rd
Middle Village, NY 11379-2919
Phone (718) 326-0553
Other names 1
- Ms. Nicole Marie Marmora
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048766 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VBVS Pharmacy 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": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1629282157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 69TH RD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113792919",
"telephone_number": "718-326-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217105",
"telephone_number": "212-734-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANELLA",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MARMORA",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.