DR. SMITHA MATHEW DILODILO (NPI# 1174806061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174806061 |
| Entity Type | Individual |
| Full Name | DR. SMITHA MATHEW DILODILO |
| Credential | PHARMACY DOCTORATE |
| Practice Address |
93 Forest Avenue Glen Cove NY 11542 |
| Mailing Address |
93 Forest Ave Glen Cove NY 11542-2109 |
| Practice Telephone | 5166714908 |
| Practice Fax Number | 5166740317 |
| Mailing Telephone | 5166714908 |
| Mailing Fax Number | 5166740317 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 055444 | NY | Pharmacy Service Providers |
| Street Address |
93 FOREST AVENUE |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215250626 | Joseph Mangini | Pharmacist | 28 Sunview Dr, Glen Cove, NY 11542-1731 | 2010-03-12 |
| 1649592486 | Andrew Simms | Pharmacist | 215 Forest Ave, Glen Cove, NY 11542-2028 | 2010-02-22 |
| 1346428067 | Marisa Cipriano Gambino | Pharmacist | 1 Jodi Ct, Glen Cove, NY 11542-1470 | 2008-02-05 |
| 1558548248 | Angela Cangero | Pharmacist | 4 Cleveland Pl, Glen Cove, NY 11542-1919 | 2008-01-25 |
| 1942487624 | Yury Arabov | Pharmacist | 65 Forest Avenue, Glen Cove, NY 11542-2110 | 2008-01-25 |
| 1932380342 | Diane Fahey | Pharmacist | 11 Carlyle Dr, Glen Cove, NY 11542-1474 | 2007-11-14 |
| 1417136847 | Edward J. Loeffler | Pharmacist | 225 Forest Ave, Glen Cove, NY 11542-2028 | 2007-11-01 |
| 1801014303 | Ralph Bellocco | Pharmacist | 40 Ann St, Glen Cove, NY 11542-3911 | 2007-04-23 |
| 1841393204 | Mohan J Jolly | Pharmacist | 95 School St, Glen Cove, NY 11542-2511 | 2006-09-07 |
| 1568061729 | Renee Novotny | Pharmacist | 93 Forest Ave, Glen Cove, NY 11542-2109 | 2020-10-20 |
| Find all providers in GLEN COVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.