Healthcare Provider Details

I. General information

NPI: 1437697018
Provider Name (Legal Business Name): JOSEPH ANTHONY MORGANTI R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 MAIN ST
BUFFALO NY
14214-2648
US

IV. Provider business mailing address

64 HIDDEN OAKS CT
GRAND ISLAND NY
14072-2575
US

V. Phone/Fax

Practice location:
  • Phone: 716-626-1300
  • Fax:
Mailing address:
  • Phone: 713-773-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number027535
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: