Delco Drugs and Specialty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028979 Issued in NY

Legal business name

DELCO DRUGS AND SPECIALTY PHARMACY INC

Doing business as

Delco Drugs

Practice address

3833 Richmond Ave
Staten Island, NY 10312-3828

Phone

(718) 984-6600

Fax

(718) 984-6601

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Robert Annicharico, BS PHARMACYNPI 1891952669

Title

Owner

Phone

(718) 984-6600

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Delco Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Delco Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delco Drugs & Specialty Pharmacy Inc.

  • Pharmacy
  • Staten Island, NY
  • NPI 1902062987
  NPD tax ID

Locations

Practitioners 3

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

• Robert Michael Annicharico, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1891952669
  NPD Authorized official
• Murray A. Grayson, R.PH.

  • Pharmacist
  • Staten Island, NY
  • NPI 1396066296
  NPD (past)
• Arif Ramush

  • Pharmacist
  • Staten Island, NY
  • NPI 1518370279
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1902939416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123828",
            "telephone_number": "718-984-6600",
            "fax_number": "718-984-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123828",
            "telephone_number": "718-984-6600",
            "fax_number": "718-984-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO DRUGS AND SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ANNICHARICO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-984-6600",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028979",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064371",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02985413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delco Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stavros Efstratios Delardas, LCSW, PMH-C, CLC
• Nicole Marie Delauro, DPM
• Salvatore Delauro, M.D.
• Thomas M Delauro, D.P.M.
• Delco Drugs & Specialty Pharmacy Inc.
• Crystal Deleon
• Irene Deleon
• John P Delfino, D.C.
• Christina Delgado, NP
• Jessica Leigh Delgado, OT

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.