Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matt Iannitelli, RPH

Individual provider Pharmacist · NPI 1114701786

Matt Iannitelli, RPH is a Pharmacist in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

551 Walnut Ave
Bohemia, NY 11716-4906
Phone: (631) 786-7832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 005107 (NY)

Record details

NPI number1114701786
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 23, 2023
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address551 Walnut Ave, Bohemia, NY 11716-4906

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