Active NPI
Ross Agostinelli
- Pharmacist
- Long Beach, NY
National Provider Identifier
1780908236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045316-1
- Practice address
- 790 Park PL
Long Beach, NY 11561-2111 - Phone
- (516) 536-0800
- Fax
- (516) 889-4500
- NPI assigned
- Mar 25, 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 | 045316-1 | NY | Primary |
Addresses
Primary practice location
790 Park PL
Long Beach, NY 11561-2111
Mailing address
790 Park PL
Long Beach, NY 11561-2111
Phone (516) 536-0800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045316-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1780908236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 PARK PL",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612111",
"telephone_number": "516-536-0800",
"fax_number": "516-889-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 PARK PL",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612111",
"telephone_number": "516-536-0800",
"fax_number": "516-889-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOSTINELLI",
"first_name": "ROSS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045316-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.