Individual provider Active NPI

Trevor Di Carlo, PHARMD

  • Pharmacist
  • Rye, NY
National Provider Identifier
1639073463
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
074580 Issued in NY
Practice address
464 Forest Ave Ste 1
Rye, NY 10580-3696
Phone
(914) 967-0856
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 074580 NY Primary

Addresses

Primary practice location

464 Forest Ave Ste 1
Rye, NY 10580-3696

Mailing address

332 Stanley Ave
Mamaroneck, NY 10543-2532
Phone (914) 967-0856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1639073463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 STANLEY AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432532",
            "telephone_number": "914-967-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 FOREST AVE STE 1",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803696",
            "telephone_number": "914-967-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI CARLO",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "074580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.