Amanda R Mascitelli, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

065557 Issued in NY

Practice address

416 Route 9W
Glenmont, NY 12077-3327

Phone

(518) 462-5507

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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.

• CVS Albany LLC

  • Pharmacy
  • Glenmont, NY
  • NPI 1780788539
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1942804273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-462-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773327",
            "telephone_number": "518-462-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCITELLI",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lak Sam Inc
• Patricia Ann Lane, IBCLC
• Vicente Emmanuel Luzon, O.D.
• Heather Machabee, RN
• Michelle Marks, PHD
• James McGuirk, PHD
• Kathleen Q Megahey, SLP
• Michael V. Conte DDS, PC
• Jeffrey G Middendorf, RPH
• Antoinesia Morrison, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.