Individual provider Active NPI

Pietro Piacquadio, R.PH.

  • Pharmacist
  • Greenport, NY
National Provider Identifier
1861714883
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037543 Issued in NY
Practice address
1045 Tasker LN
Greenport, NY 11944-1945
Phone
(917) 217-4542
NPI assigned
Feb 17, 2010
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037543 NY Primary

Addresses

Primary practice location

1045 Tasker LN
Greenport, NY 11944-1945

Mailing address

75 Nassau Terminal Rd
C/O Avanti Health Care Services
New Hyde Park, NY 11040-4927
Phone (516) 280-1000

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
037543NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amerita of New York, LLC. Past Accepting new patients
Dragonfly Health RX Ny, LLC 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, 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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1861714883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NASSAU TERMINAL RD",
            "address_2": "C/O AVANTI HEALTH CARE SERVICES",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404927",
            "telephone_number": "516-280-1000",
            "fax_number": "516-280-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TASKER LN",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441945",
            "telephone_number": "917-217-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIACQUADIO",
        "first_name": "PIETRO",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.