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MS. JEAN M FORMISANO RPH
NPI 1811219629
Pharmacist in Riverhead, NY

Active since February 20, 2010
1196 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 208-0239(631) 208-0262 Get Directions Write a Review

NPPES record last updated: February 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jean M Formisano Rph NPPES

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

MS. JEAN M FORMISANO RPH (NPI 1811219629) is an individual pharmacist in Riverhead, New York, licensed in New York (048664) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1811219629
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMS. JEAN M FORMISANOCredential: RPH
Location Address1196 OLD COUNTRY RDRiverhead, NY 11901-2066
Mailing Address8 Gatz RdRiverhead, NY 11901-2362 · (631) 235-9562
Phone(631) 208-0239
Fax(631) 208-0262
Sole ProprietorNo
Enumeration DateFebruary 20, 2010
✔ NPI 1811219629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 048664
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.
1196 OLD COUNTRY RD, Riverhead, NY 11901
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOAN E. LITTLE RPH
Pharmacist
1196 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-0239
WALGREEN CO
Pharmacy
1196 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-0239
MICHELLE CHOI
Pharmacist
1196 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-0239

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 Jean Formisano's NPI number?

The NPI number for Jean Formisano is 1811219629. It was assigned to this individual provider in the NPPES registry on February 20, 2010.

Where is Jean Formisano located?

Jean Formisano practices at 1196 Old Country Rd, Riverhead, NY 11901. The listed phone number is (631) 208-0239.

What is Jean Formisano'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 Jean Formisano was last updated on February 20, 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.