Active NPI
Nathan Michael Rossi, PHARM D.
- Pharmacist
- Syracuse, NY
National Provider Identifier
1669658795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051745
- Practice address
- 5942 S Salina St
Syracuse, NY 13205-3326 - Phone
- (315) 469-3254
- Fax
- (315) 469-1685
- NPI assigned
- Jan 18, 2008
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051745 | NY | Primary |
Addresses
Primary practice location
5942 S Salina St
Syracuse, NY 13205-3326
Mailing address
112 Saginaw Dr
East Syracuse, NY 13057-1404
Phone (315) 437-4736
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 |
|---|---|---|---|
| 051745 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1669658795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SAGINAW DR",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571404",
"telephone_number": "315-437-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5942 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132053326",
"telephone_number": "315-469-3254",
"fax_number": "315-469-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "NATHAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-18",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.