Individual provider Active NPI

Michael J Ilardo, RPH

  • Pharmacist
  • Lackawanna, NY
National Provider Identifier
1851627657
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048141 Issued in NY
Practice address
1234 Abbott Rd
Suite #210
Lackawanna, NY 14218-1944
Phone
(716) 768-2500
Fax
(716) 768-3355
NPI assigned
Oct 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048141 NY Primary

Addresses

Primary practice location

1234 Abbott Rd
Suite #210
Lackawanna, NY 14218-1944

Mailing address

10419 Pine St
North Collins, NY 14111-9405
Phone (716) 337-2530

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

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1851627657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 PINE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119405",
            "telephone_number": "716-337-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 ABBOTT RD",
            "address_2": "SUITE #210",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181944",
            "telephone_number": "716-768-2500",
            "fax_number": "716-768-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILARDO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.