Provider Demographics
NPI:1962672006
Name:MACARI, MARIO (RPH)
Entity type:Individual
Prefix:
First Name:MARIO
Middle Name:
Last Name:MACARI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CHICHESTER RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6340
Mailing Address - Country:US
Mailing Address - Phone:631-271-5701
Mailing Address - Fax:
Practice Address - Street 1:2000 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-6207
Practice Address - Country:US
Practice Address - Phone:631-462-7366
Practice Address - Fax:631-462-7385
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist