Individual provider · Type 1 NPI
Jean M. Formisano, RPH
Pharmacist · Riverhead, NY
Practice location
1196 Old Country Rd
Riverhead, NY 11901-2066
Fax (631) 208-0262
Mailing address
8 Gatz Rd
Riverhead, NY 11901-2362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 048664 (NY) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
3 other providers at this address
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- Anita M. Patel, PharmDPharmacist Riverhead, NY NPI 1134418973
- Joan E. Little, RPHPharmacist Riverhead, NY NPI 1154510741
- Donald D. StaianoPharmacist Riverhead, NY NPI 1174702476
- Barry D. BarthPharmacist Riverhead, NY NPI 1174736045
- Bhaskar GunjupaliPharmacist Riverhead, NY NPI 1174762892
- Justina S. Lin, PharmDPharmacist Riverhead, NY NPI 1285255422
- Allen David AgarPharmacist Riverhead, NY NPI 1295289775
About NPI 1811219629
Jean M. Formisano, RPH's National Provider Identifier is 1811219629, issued on Feb 20, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Riverhead, NY. The record was last updated on Feb 20, 2010.