Active NPI
Anthony James Yacullo
- Pharmacist
- Morganville, NJ
National Provider Identifier
1912270356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI00024983
- Practice address
- 703 Ginesi Dr
Morganville, NJ 07751-1235 - Phone
- (888) 809-4772
- NPI assigned
- Feb 15, 2012
- Last updated
- Feb 15, 2012
- Sex
- Male
- 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 | RI00024983 | NJ | Primary |
Addresses
Primary practice location
703 Ginesi Dr
Morganville, NJ 07751-1235
Mailing address
1212 Bay Ave
Bay Head, NJ 08742-4016
Phone (732) 892-0330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI00024983 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1912270356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 BAY AVE",
"city": "BAY HEAD",
"state": "NJ",
"postal_code": "087424016",
"telephone_number": "732-892-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 GINESI DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511235",
"telephone_number": "888-809-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACULLO",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI00024983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.