Active NPI
Robert A Duca Jr., RPH
- Pharmacist
- Flushing, NY
National Provider Identifier
1669519419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18334
- Practice address
- 17224 46TH Ave
Flushing, NY 11358-3308 - Phone
- (718) 463-5590
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 18334 | NY | Primary |
Addresses
Primary practice location
17224 46TH Ave
Flushing, NY 11358-3308
Mailing address
17224 46TH Ave
Flushing, NY 11358-3308
Phone (718) 463-5590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00856919 | Medicaid | NY |
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 |
|---|---|---|---|
| 18334 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & T Sales 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 and National Provider Directory roles.
-
- Pharmacy
- Flushing, NY
- NPI 1548384324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669519419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17224 46TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583308",
"telephone_number": "718-463-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17224 46TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583308",
"telephone_number": "718-463-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCA",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "18334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00856919",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.