Active NPI
Lisa M. Acquista-Olivieri, RPH
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1689791667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042103
- Practice address
- 95 School St
Glen Cove, NY 11542-2511 - Phone
- (516) 676-9111
- Fax
- (516) 676-5162
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 042103 | NY | Primary |
Addresses
Primary practice location
95 School St
Glen Cove, NY 11542-2511
Mailing address
1 White Cap CT
Bayville, NY 11709-1691
Phone (516) 802-3986
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Cove Pharm LLC | 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": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689791667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WHITE CAP CT",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091691",
"telephone_number": "516-802-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SCHOOL ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422511",
"telephone_number": "516-676-9111",
"fax_number": "516-676-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUISTA-OLIVIERI",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, 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.