Individual provider Active NPI

John Crisafulli, RPH

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1831412378
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047295 Issued in NY
Practice address
1750 East Ave
Rochester, NY 14610-1828
Phone
(585) 244-0220
Fax
(585) 244-2114
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047295 NY Primary

Addresses

Primary practice location

1750 East Ave
Rochester, NY 14610-1828

Mailing address

1750 East Ave
Rochester, NY 14610-1828
Phone (585) 244-0220

Other identifiers 1

IdentifierTypeStateIssuer
047295OtherNYPHARMACIST 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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
047295NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. Past Accepting new patients
Wegmans Food Markets, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1831412378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101828",
            "telephone_number": "585-244-0220",
            "fax_number": "585-244-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101828",
            "telephone_number": "585-244-0220",
            "fax_number": "585-244-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAFULLI",
        "first_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE #",
            "identifier": "047295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.