Erik David Mendillo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

045785 Issued in NY

Practice address

142 Genesee St
Oneida, NY 13421-2711

Phone

(315) 363-7856

NPI assigned

Dec 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golub Corporation

  • Community/Retail Pharmacy
  • Oneida, NY
  • NPI 1124132410
  NPD (past)
• Golub Corporation

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1083727002
  NPD (past)

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198886400000",
    "number": "1902081763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DOUGLAS HEIGHTS DR",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324724",
            "telephone_number": "315-697-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212711",
            "telephone_number": "315-363-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDILLO",
        "first_name": "ERIK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02771479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry McMaster, LMSW
• Amber McMichael
• Prabhjpt Kaur McTague, O.D
• James C. McWilliams
• Rohin Mehta, M.D.
• Jordan Claire Mercer, MSOT
• Carrie Jessica Messier, LMSW
• Dorothea Metzler, LPN
• Timothy Mihm, P.A.
• Cynthia Miller, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; 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.