Active NPI
Paul R Flatley, RPH
- Pharmacist
- Wilton, NY
National Provider Identifier
1710161401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047545
- Practice address
- 3049 Route 50
Wilton, NY 12866 - Phone
- (518) 583-3697
- Fax
- (518) 583-3110
- NPI assigned
- Dec 18, 2007
- Last updated
- Dec 18, 2007
- 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 | 047545 | NY | Primary |
Addresses
Primary practice location
3049 Route 50
Wilton, NY 12866
Mailing address
3049 RT 50
Wilton, NY 12866-8574
Phone (518) 583-3697
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 |
|---|---|---|---|
| 047545 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1710161401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3049 RT 50",
"city": "WILTON",
"state": "NY",
"postal_code": "128668574",
"telephone_number": "518-583-3697",
"fax_number": "518-583-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3049 ROUTE 50",
"city": "WILTON",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-583-3697",
"fax_number": "518-583-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLATLEY",
"first_name": "PAUL",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.