Active NPI
Patrick J Daddino, PHARMACIST
- Pharmacist
- Bronx, NY
National Provider Identifier
1952530081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 027415
- Practice address
- 105-107 E Burnside Ave
Bronx, NY 10453 - Phone
- (718) 933-1222
- NPI assigned
- Jul 10, 2009
- Last updated
- Jul 10, 2009
- 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 | 027415 | NY | Primary |
Addresses
Primary practice location
105-107 E Burnside Ave
Bronx, NY 10453
Mailing address
105 107 East Burnside Ave
Bronx, NY 10453
Phone (718) 933-1222
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJS Pharmacy Inc | Past | Accepting new patients | |
| SJS Pharmacy Inc | 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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1174616502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1952530081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 107 EAST BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-933-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105-107 E BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-933-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADDINO",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "027415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.