Colombos Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025368 Issued in NY

Legal business name

COLOMBOS PHARMACY LLC

Practice address

75 51 Metropolitan Ave
Middle Village, NY 11379

Phone

(718) 418-9700

Fax

(718) 418-7900

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Vito Colombo, RPHNPI 1477877249

Title

Owner

Phone

(718) 418-9700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COLOMBOS PHARMACY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vito Antonino Colombo, B.S.

  • Pharmacist
  • Middle Village, NY
  • NPI 1477877249
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1881609402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792638",
            "telephone_number": "718-418-9700",
            "fax_number": "718-418-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 51 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11379",
            "telephone_number": "718-418-9700",
            "fax_number": "718-418-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOMBOS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "COLOMBO",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-418-9700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286253",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3326469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLOMBOS PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Ciulla, R.N.
• Rosaleen Mary Clarke, MA CCC-SLP
• Ashling Coleman, RN
• Vito Antonino Colombo, B.S.
• Colombos Pharmacy LLC
• Edna Juliet Colon, OTR/L
• Caterina Como, MA CCC-SLP
• Kelly Ann Connelly, RN
• Teodora R. Constantinescu, DDS
• Angelica Jane Cordova

• Community/Retail Pharmacy in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.