Stephen M Speregon

Primary specialty

PharmacistTaxonomy code 183500000X

License

02407849 Issued in NY

Practice address

440 Sunrise Hwy
Patchogue, NY 11772-2254

Phone

(631) 758-8292

NPI assigned

Feb 9, 2008

Last updated

Feb 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202515200000",
    "number": "1881872042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SUNRISE HWY",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SUNRISE HWY",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722254",
            "telephone_number": "631-758-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEREGON",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027977",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "02407849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "02407849 MEDICAID",
            "identifier": "027977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Spadavecchia, PHARM.D.
• Deanna Rose Sparaco, RN FNP
• Annamaria Spera, LMSW
• Anthony P Spera, MD
• Gina Kathleen Spera, RN
• Joann T Spinnato, PNP
• Cynthia Louise Sproul, LPN
• St Charles Rehabilitation
• Alice A Stabler, LCSW
• Talia Regina Stagnitta

• Pharmacist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.