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

MS. Jean M Formisano, RPH

Individual provider Pharmacist · NPI 1811219629

MS. Jean M Formisano, RPH is a Pharmacist in Riverhead, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1196 Old Country Rd
Riverhead, NY 11901-2066
Phone: (631) 208-0239
Fax: (631) 208-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 048664 (NY)

Record details

NPI number1811219629
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 20, 2010
Last updated in NPPESFebruary 20, 2010

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