Active NPI
Michelle Rose Romano, PHARM.D.
- Pharmacist
- Deer Park, NY
National Provider Identifier
1689956054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202210668
- Practice address
- 1770 Deer Park Ave
Deer Park, NY 11729-5203 - Phone
- (631) 667-7023
- NPI assigned
- Sep 12, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202210668 | VA | Primary |
| Pharmacist | 183500000X | 528856 | NY |
Addresses
Primary practice location
1770 Deer Park Ave
Deer Park, NY 11729-5203
Mailing address
240 Meredith LN
West Hempstead, NY 11552-1243
Phone (516) 696-2550
Other practice location 1
201 Hanbury Rd E
Chesapeake, VA 23322-6613
Phone (757) 482-2563
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 |
|---|---|---|---|
| 528856 | NY | MD | Pharmacist |
| 0202210668 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1689956054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MEREDITH LN",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115521243",
"telephone_number": "516-696-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295203",
"telephone_number": "631-667-7023"
}
],
"practiceLocations": [
{
"address_1": "201 Hanbury Rd E",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233226613",
"country_code": "US",
"telephone_number": "757-482-2563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANO",
"first_name": "MICHELLE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210668",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "528856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.