Active NPI
Marc Daniel Iannaccone, PHARMD
- Oncology Pharmacist
- Hamden, CT
National Provider Identifier
1649838194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 0012100
- Practice address
- 1100 Sherman Ave
Hamden, CT 06514-1363 - Phone
- (203) 747-3933
- NPI assigned
- May 30, 2019
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 0012100 | CT | Primary |
Addresses
Primary practice location
1100 Sherman Ave
Hamden, CT 06514-1363
Mailing address
221 Prospect St # 2F
Ansonia, CT 06401-1523
Phone (203) 606-8892
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012100 | CT | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1649838194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PROSPECT ST # 2F",
"city": "ANSONIA",
"state": "CT",
"postal_code": "064011523",
"telephone_number": "203-606-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SHERMAN AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141363",
"telephone_number": "203-747-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNACCONE",
"first_name": "MARC",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CT",
"license": "0012100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.