MATT IANNITELLI RPH
NPI 1114701786
Pharmacist in Bohemia, NY

Active since August 23, 2023
551 WALNUT AVE, BOHEMIA, NY 11716(631) 786-7832 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Aug 23, 2023 (2 updates tracked since 2023).

About Matt Iannitelli Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATT IANNITELLI RPH (NPI 1114701786) is an individual pharmacist in Bohemia, New York, licensed in New York (005107) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1114701786
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATT IANNITELLICredential: RPH
Location Address551 WALNUT AVEBohemia, NY 11716-4906
Mailing Address551 Walnut AveBohemia, NY 11716-4906 · (631) 786-7832
Sole ProprietorYes
Enumeration DateAugust 23, 2023
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1114701786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 005107
Definition
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.
551 WALNUT AVE, Bohemia, NY 11716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Iannitelli's NPI number?

The NPI number for Matt Iannitelli is 1114701786. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Matt Iannitelli located?

Matt Iannitelli practices at 551 Walnut Ave, Bohemia, NY 11716. The listed phone number is (631) 786-7832.

What is Matt Iannitelli's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Matt Iannitelli was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.