Nicole Elyse Defillipo

Primary specialty

PharmacistTaxonomy code 183500000X

License

065907 Issued in NY

Practice address

2270 Clove Rd
Staten Island, NY 10305-1524

Phone

(718) 447-6295

Fax

(718) 447-6491

NPI assigned

Sep 25, 2019

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

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.

• Walgreen Co

  • Pharmacy
  • Staten Island, NY
  • NPI 1154553899
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1972154599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051524",
            "telephone_number": "718-447-6295",
            "fax_number": "718-447-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051524",
            "telephone_number": "718-447-6295",
            "fax_number": "718-447-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Rossville Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103091718",
            "country_code": "US",
            "telephone_number": "718-967-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFILLIPO",
        "first_name": "NICOLE",
        "middle_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine M Deeb, MS ED
• Jessica Defeo
• Louis Carmine Defeo, D.D.S.
• Taylor Michelle Defilippo, CF-SLP
• Jennifer Defillipo, CASAC-T
• Roxane Mary Defillipo, LCSW
• Radie Defoe, MSCMHC
• Dianne Deforest
• Darlene M Deforte, LCSW
• Christian Defournoy Jr.

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.