Individual provider Active NPI

Michael A Agovino

  • Pharmacist
  • Yonkers, NY
National Provider Identifier
1871704940
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027823 Issued in NY
Practice address
1 Abbey PL
Yonkers, NY 10701-1715
Phone
(845) 494-2149
Fax
(718) 543-1071
NPI assigned
May 24, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 027823 NY Primary

Addresses

Primary practice location

1 Abbey PL
Yonkers, NY 10701-1715

Mailing address

1 Abbey PL
Yonkers, NY 10701-1715
Phone (845) 494-2149

Other identifiers 1

IdentifierTypeStateIssuer
027823OtherNYPHARMACIST 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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1871704940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ABBEY PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011715",
            "telephone_number": "845-494-2149",
            "fax_number": "718-543-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABBEY PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011715",
            "telephone_number": "845-494-2149",
            "fax_number": "718-543-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOVINO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "027823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.