Active NPI
Keith Dimarco, R. PH.
- Pharmacist
- Amityville, NY
National Provider Identifier
1730321530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036037
- Practice address
- 275 Broadway
Amityville, NY 11701-2708 - Phone
- (631) 841-1630
- NPI assigned
- Mar 25, 2009
- Last updated
- Jun 10, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 036037 | NY | Primary |
Addresses
Primary practice location
275 Broadway
Amityville, NY 11701-2708
Mailing address
12 Wheatley Ave
Albertson, NY 11507-1515
Phone (516) 747-0257
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 |
|---|---|---|---|
| 036037 | NY | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1730321530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WHEATLEY AVE",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071515",
"telephone_number": "516-747-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012708",
"telephone_number": "631-841-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARCO",
"first_name": "KEITH",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.