Individual provider Active NPI

Philip J Occhino Jr., RPH

  • Pharmacist
  • Yorkshire, NY
National Provider Identifier
1710938717
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044904 Issued in NY
Practice address
3242 Route 39
Yorkshire, NY 14173
Phone
(716) 492-0176
Fax
(716) 492-5377
NPI assigned
May 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044904 NY Primary

Addresses

Primary practice location

3242 Route 39
Yorkshire, NY 14173

Mailing address

12558 Warner Hill Rd
South Wales, NY 14139-9742
Phone (716) 523-8118

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

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1710938717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12558 WARNER HILL RD",
            "city": "SOUTH WALES",
            "state": "NY",
            "postal_code": "141399742",
            "telephone_number": "716-523-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 ROUTE 39",
            "city": "YORKSHIRE",
            "state": "NY",
            "postal_code": "14173",
            "telephone_number": "716-492-0176",
            "fax_number": "716-492-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHINO",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-14",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkshire, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.