DR. MICHAEL SIMON CUCCI


Address: 50 Route 25a, St Catherine of Siena Medical Center - Dept of Pharmacy, Smithtown, NY 11787-1348
Phone: 6318623020

DR. MICHAEL SIMON CUCCI (NPI# 1922449511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922449511
Entity Type Individual
Full Name DR. MICHAEL SIMON CUCCI
Other Name DR. MICHAEL S. CUCCI
Credential PHARM.D., RPH
Practice Address 50 Route 25a
St Catherine of Siena Medical Center - Dept of Pharmacy
Smithtown
NY 11787-1348
Mailing Address 2947 Bayview Ave
Wantagh
NY 11793-4322
Practice Telephone 6318623020
Practice Fax Number 6318623732
Mailing Telephone 5166417046
Enumeration Date 2013-07-10
Last Update Date 2020-08-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
I058090 NY Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
058090 NY Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) I058090 01
NY NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) 058090 01

Other Providers MICHAEL CUCCI

NPI Name Taxonomy Address Enumeration
1619013240 Michael Angelo Cucci Dentist 221 North Hooker Ave, Three Rivers, MI 49093 2007-01-30

Office Location

Street Address 50 ROUTE 25A
ST CATHERINE OF SIENA MEDICAL CENTER - DEPT OF PHARMACY
City SMITHTOWN
State NY
Zip Code 11787-1348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720085061 Dmitry Konsky Internal Medicine 50 Route 25a, Smithtown, NY 11787 2005-07-01
1609232883 Patrick Fritz Greger Physician Assistant 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 2016-01-04
1447624655 Kimberly Finnegan Nurse Practitioner 50 Route 25a, Smithtown, NY 11787-1348 2015-11-25
1346626868 Marilyn Verna Registered Nurse 50 Route 25a, Smithtown, NY 11787-1348 2015-08-06
1033540059 Salma Sanzida Islam Internal Medicine 50 Route 25a, Smithtown, NY 11787-1348 2013-12-02
1902245632 Kate Aileen Lindstadt Nurse Practitioner 50 Route 25a, Smithtown, NY 11787 2013-06-15
1154764819 St. Catherine of Siena Medical Center General Acute Care Hospital 50 Route 25a, Smithtown, NY 11787-1348 2013-04-12
1841549912 Philip Edwin Veith Internal Medicine 50 Route 25a, Smithtown, NY 11787-1348 2012-09-05
1356612717 Peter Soltani Internal Medicine 50 Route 25a, Smithtown, NY 11787-1348 2012-01-17
1750651238 Narinder Dawar Internal Medicine 50 Route 25a, Smithtown, NY 11787-1348 2011-12-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720600984 Sajeda Gheewala Pharmacist 10 W Main St, Smithtown, NY 11787-2615 2020-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241794 Erika Modh Pharmacist 6220 11th Ave, Brooklyn, NY 11219-5204 2020-09-29
1457990657 Hina Khawaja Pharmacist 24 E 24th St, Huntington Station, NY 11746-3702 2020-01-06
1508411810 Michael Richard Izzo Pharmacist 104 Reservoir Rd, Little Falls, NY 13365-5924 2019-08-04
1306498100 Cerris Chung Pharmacist 320 E 94th St # 3f, New York, NY 10128-5604 2019-07-11
1558922419 Jennifer Sophia Orozco Pharmacist 1275 York Ave # 710, New York, NY 10065-6007 2019-06-21
1558846014 Lisa Chu Pharmacist 14634 23rd Ave, Whitestone, NY 11357-3514 2018-10-01
1841772514 Salvatore Oreste Pharmacist 32 Alder Dr, Kings Park, NY 11754-2202 2018-08-30
1184138885 B&t Port Richmond Pharmacy Inc. Pharmacist 251 Port Richmond Ave, Staten Island, NY 10302-1704 2017-11-17
1922510072 Robert O'connell Pharmacist 3840 211th St Fl 2, Bayside, NY 11361-1956 2017-10-30
1427577048 Fawzieh Mourtada Pharmacist Rite Aid, 540 West 235th Street, Bronx, NY 10643 2017-09-14
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Competitor

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City SMITHTOWN
Zip Code 11787

Improve Information

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Dataset Information

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.

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