Individual provider Active NPI

Anthony M Delgreco, RPH

  • Pharmacist
  • Waldwick, NJ
National Provider Identifier
1972237253
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01136400 Issued in NJ
Practice address
16 E Prospect St
Waldwick, NJ 07463-2098
Phone
(201) 445-1100
NPI assigned
Jul 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0003677 CT
Pharmacist 183500000X 28RI01136400 NJ Primary

Addresses

Primary practice location

16 E Prospect St
Waldwick, NJ 07463-2098

Mailing address

1530 Palisade Ave Apt 14N
Fort Lee, NJ 07024-5422
Phone (201) 707-5368

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0003677CTMDPharmacist
28RI01136400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Krishna Pharmacy Inc PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1972237253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE APT 14N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245422",
            "telephone_number": "201-707-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E PROSPECT ST",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632098",
            "telephone_number": "201-445-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGRECO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0003677",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01136400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.