Individual provider Active NPI

Peter Michael D'Amigo, RPH

  • Pharmacist
  • Geneseo, NY
National Provider Identifier
1750637294
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056757 Issued in NY
Practice address
4287 Genesee Valley PLZ
Geneseo, NY 14454-9434
Phone
(585) 243-9020
Fax
(585) 243-9516
NPI assigned
Aug 2, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056757 NY Primary

Addresses

Primary practice location

4287 Genesee Valley PLZ
Geneseo, NY 14454-9434

Mailing address

4287 Genesee Valley PLZ
Geneseo, NY 14454-9434
Phone (585) 243-9020

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
056757NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1750637294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 GENESEE VALLEY PLZ",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549434",
            "telephone_number": "585-243-9020",
            "fax_number": "585-243-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 GENESEE VALLEY PLZ",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549434",
            "telephone_number": "585-243-9020",
            "fax_number": "585-243-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMIGO",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.