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ETHAN SIMON ASEDO RPH
NPI 1700118486
Pharmacist in Staten Island, NY

Active since February 05, 2010
173 BROAD STREET, STATEN ISLAND, NY 10304(718) 447-4127 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Simon Asedo Rph NPPES

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

ETHAN SIMON ASEDO RPH (NPI 1700118486) is an individual pharmacist in Staten Island, New York, licensed in New York (027362) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1700118486
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameETHAN SIMON ASEDOCredential: RPH
Location Address173 BROAD STREETStaten Island, NY 10304-2057
Mailing Address173 Broad Street, Miller PharmacyStaten Island, NY 10304-2057 · (718) 447-4127
Phone(718) 447-4127
Sole ProprietorYes
Enumeration DateFebruary 5, 2010
✔ NPI 1700118486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 027362
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.
173 BROAD STREET, Staten Island, NY 10304
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Other Identifiers 1

Medicaid00745331NY

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 Ethan Asedo's NPI number?

The NPI number for Ethan Asedo is 1700118486. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Ethan Asedo located?

Ethan Asedo practices at 173 Broad Street, Staten Island, NY 10304. The listed phone number is (718) 447-4127.

What is Ethan Asedo'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 Ethan Asedo was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.