Individual provider Active NPI

Anthony Russolello, PHARM D

  • Pharmacist
  • Hopewell Junction, NY
National Provider Identifier
1992236293
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I062394 Issued in NY
Practice address
829 Route 82
Hopewell Junction, NY 12533-7347
Phone
(845) 227-0582
Fax
(845) 227-0585
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I062394 NY Primary

Addresses

Primary practice location

829 Route 82
Hopewell Junction, NY 12533-7347

Mailing address

829 Route 82
Hopewell Junction, NY 12533-7347
Phone (845) 227-0582

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
I062394NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1992236293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 ROUTE 82",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337347",
            "telephone_number": "845-227-0582",
            "fax_number": "845-227-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 ROUTE 82",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337347",
            "telephone_number": "845-227-0582",
            "fax_number": "845-227-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSOLELLO",
        "first_name": "ANTHONY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I062394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.