Active NPI
Grace Theresa Larocca, RPH
- Pharmacist
- Huntington Station, NY
National Provider Identifier
1902939168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048452
- Practice address
- 325 Route 110
Huntington Station, NY 11746-4149 - Phone
- (631) 271-2525
- Fax
- (631) 271-1706
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048452 | NY | Primary |
Addresses
Primary practice location
325 Route 110
Huntington Station, NY 11746-4149
Mailing address
3627 Martha Blvd
Bethpage, NY 11714-3828
Phone (516) 433-2868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048452 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genovese Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Maspeth, NY
- NPI 1609975861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1902939168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3627 MARTHA BLVD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143828",
"telephone_number": "516-433-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ROUTE 110",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117464149",
"telephone_number": "631-271-2525",
"fax_number": "631-271-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCCA",
"first_name": "GRACE",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.