Individual provider Active NPI

Dean Patrick H Aquino, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1700285459
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I058915-1 Issued in NY
Practice address
87 Mulberry St
New York, NY 10013-4452
Phone
(212) 693-6688
Fax
(212) 693-6677
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I058915-1 NY Primary

Addresses

Primary practice location

87 Mulberry St
New York, NY 10013-4452

Mailing address

16124 99TH St
Howard Beach, NY 11414-3819
Phone (718) 641-2802

Other practice location 1

16124 99th St
Howard Beach, NY 11414-3819
Phone (718) 641-2802

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

LicenseStateTypeSpecialty
I058915-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mulberry Pharmacy Inc CurrentSince Mar 3, 2024 Accepting new patients

Locations

87 Mulberry St
New York, NY 10013
Phone (212) 693-6688

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1700285459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16124 99TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143819",
            "telephone_number": "718-641-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MULBERRY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134452",
            "telephone_number": "212-693-6688",
            "fax_number": "212-693-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16124 99th St",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114143819",
            "country_code": "US",
            "telephone_number": "718-641-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "DEAN PATRICK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I058915-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.