Active NPI
Kim Nguyen Arcerito, PHARM.D.
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1770795684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46455
- Practice address
- 206 Glen Cove Ave
Glen Cove, NY 11542-4191 - Phone
- (516) 676-1334
- NPI assigned
- May 4, 2007
- Last updated
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13484 | MD | |
| Pharmacist | 183500000X | 072746-01 | NY | |
| Pharmacist | 183500000X | 46455 | CA | Primary |
| Pharmacist | 183500000X | 5302040391 | MI |
Addresses
Primary practice location
206 Glen Cove Ave
Glen Cove, NY 11542-4191
Mailing address
206 Glen Cove Ave
Glen Cove, NY 11542-4191
Phone (516) 676-1334
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46455 | CA | MD | Pharmacist |
| 13484 | MD | MD | Pharmacist |
| 5302040391 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Locations
25755 Barton Rd
Loma Linda, CA 92354
Phone (909) 283-7261
Organizations & group practices 4
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": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1770795684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424191",
"telephone_number": "516-676-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GLEN COVE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424191",
"telephone_number": "516-676-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCERITO",
"first_name": "KIM",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "13484",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "072746-01",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46455",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.