Louis A Zollo

Primary specialty

PharmacistTaxonomy code 183500000X

License

045392 Issued in NY

Practice address

3175 23Rd St Ste 410
Astoria, NY 11106-4134

Phone

(800) 350-8119

Fax

(800) 349-5058

NPI assigned

Aug 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Prime Therapeutics Pharmacy LLC

  • Mail Order Pharmacy
  • West Valley City, UT
  • NPI 1356790364
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1992284525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 ROBERT FULTON DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462620",
            "telephone_number": "410-953-4714",
            "fax_number": "410-953-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 23RD ST STE 410",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064134",
            "telephone_number": "800-350-8119",
            "fax_number": "800-349-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLO",
        "first_name": "LOUIS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336S0011X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336M0002X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zinc Pharmacy Inc.
• Zivkovic Dentistry PC
• Bilyana Zivkovic
• Jovanka Zivkovic
• Amir Ziyamov, MSN, RN, FNP-BC
• Nancy Zoobi
• Robert Zordan, OTR/L
• Carlos Zorrilla
• Scott Zotto, LMSW
• Anjie Ace Garciano Zozobrado, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.