Individual provider Active NPI

William Gitman, RPH

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1720172299
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35899 Issued in NY
Practice address
247 Nugent St.
Staten Island, NY 10306-1249
Phone
(718) 980-9602
Fax
(718) 980-9602
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35899 NY Primary

Addresses

Primary practice location

247 Nugent St.
Staten Island, NY 10306-1249

Mailing address

247 Nugent St
Staten Island, NY 10306-1249
Phone (718) 980-9602

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

LicenseStateTypeSpecialty
35899NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1720172299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 NUGENT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061249",
            "telephone_number": "718-980-9602",
            "fax_number": "718-980-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 NUGENT ST.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061249",
            "telephone_number": "718-980-9602",
            "fax_number": "718-980-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITMAN",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "35899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.