MR. NICHOLAS JOHN STAFFA (NPI# 1639446701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639446701 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS JOHN STAFFA |
| Credential | RPH |
| Practice Address |
429 Fir Grove Rd Ronkonkoma NY 11779-5128 |
| Practice Telephone | 6317372885 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 32009 | NY | Pharmacy Service Providers |
| Street Address |
429 FIR GROVE RD |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| 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 |
|---|---|---|---|---|
| 1447654728 | Mark Jakubowski | Pharmacist | 73 Port Ave, Ronkonkoma, NY 11779-5929 | 2014-10-15 |
| 1619227865 | Mina Kwon | Pharmacist | 65 Richmond Blvd Unit 3a, Ronkonkoma, NY 11779-3640 | 2012-09-14 |
| 1881917797 | Brian Richard Young | Pharmacist | 72 1st St, Ronkonkoma, NY 11779-5382 | 2010-03-05 |
| 1982927232 | Frank Donnantuono | Pharmacist | 2805 Veterans Memorial Hwy Ste 19, Ronkonkoma, NY 11779 | 2010-03-01 |
| 1992027981 | Christopher Varvaro | Pharmacist | 80 Air Park Drive, Care Plus Pharmacy, Ronkonkoma, NY 11779 | 2010-02-18 |
| 1760704829 | Gail Maxwell | Pharmacist | 80 Air Park Dr, Ronkonkoma, NY 11779-7360 | 2010-02-17 |
| 1023299336 | Tuan Hung Le | Pharmacist | 201 Smith Rd, Ronkonkoma, NY 11779-2237 | 2007-11-15 |
| 1770639072 | Slater Pharmacy Inc | Pharmacist | 407 Hawkins Ave, Ronkonkoma, NY 11779-4239 | 2007-01-27 |
| 1235206913 | Michael T Hushin | Pharmacist | 886 Johnson Ave, Ronkonkoma, NY 11779-6058 | 2006-11-29 |
| 1578034872 | Trung Le | Pharmacist | 201 Smith Rd, Ronkonkoma, NY 11779-2237 | 2018-12-12 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
Please comment or provide details below to improve the information on MR. NICHOLAS JOHN STAFFA.
| 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.