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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) | I058090 | 01 |
NY | NYS BOARD OF PHARMACY LICENSURE (PHARMACIST) | 058090 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
Street Address |
50 ROUTE 25A ST CATHERINE OF SIENA MEDICAL CENTER - DEPT OF PHARMACY |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-1348 |
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 |
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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 |
Find all providers in zip 11787 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720600984 | Sajeda Gheewala | Pharmacist | 10 W Main St, Smithtown, NY 11787-2615 | 2020-05-11 |
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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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.