Active NPI
Nicholas Dellorusso
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1932316353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037040
- Practice address
- 5915 Avenue N
Brooklyn, NY 11234-4129 - Phone
- (718) 209-2222
- Fax
- (718) 209-9489
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 037040 | NY | Primary |
Addresses
Primary practice location
5915 Avenue N
Brooklyn, NY 11234-4129
Mailing address
5915 Avenue N
Brooklyn, NY 11234-4129
Phone (718) 209-2222
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 |
|---|---|---|---|
| 037040 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Drug Inc | Current | Accepting new patients | |
| Deru Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932316353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 AVENUE N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344129",
"telephone_number": "718-209-2222",
"fax_number": "718-209-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 AVENUE N",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344129",
"telephone_number": "718-209-2222",
"fax_number": "718-209-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLORUSSO",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.