Active NPI
Stephanie Scalzo, PHARMD, RPH
- Pharmacist
- Staten Island, NY
National Provider Identifier
1821562877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064603
- Practice address
- 252 Port Richmond Ave
Staten Island, NY 10302-1749 - Phone
- (718) 556-0942
- NPI assigned
- Jan 13, 2019
- Sex
- Female
- 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 | 064603 | NY | Primary |
Addresses
Primary practice location
252 Port Richmond Ave
Staten Island, NY 10302-1749
Mailing address
252 Port Richmond Ave
Staten Island, NY 10302-1749
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03974400 | Other | NJ | NJ PHARMACIST LICENSE |
| 064603 | Other | NY | NYS PHARMACIST LICENSE |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064603 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castleton Pharmacy Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1538309331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1821562877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 PORT RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 PORT RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021749",
"telephone_number": "718-556-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZO",
"first_name": "STEPHANIE",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-13",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ PHARMACIST LICENSE",
"identifier": "28RI03974400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACIST LICENSE",
"identifier": "064603",
"state": "NY"
}
],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.