IndividualActive
Christina Squillante, PHARM D
NPI 1104391572 · Pharmacist · Wading River, NY
Provider details
- NPI number
- 1104391572
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- Yes
- License
- PHCY-04561 (NH)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 Wading River Manor Rd
Wading River, NY 11792-2193
Phone: (631) 929-0280
Fax: (631) 929-0286
Street-level locationGet directions
Mailing address
1815 Wading River Manor Rd
Wading River, NY 11792-2193
Additional practice locations (3)
- 202 Broad StGlens Falls, NY 12801-4146Phone: (518) 793-3040
- 724 Glen StQueensbury, NY 12804-2019Phone: (518) 793-3132
- 502 Railroad StSaint Johnsbury, VT 05819-1633Phone: (802) 748-5210
Registry dates
- Enumerated
- 2018-10-11
- Last updated
- 2022-03-20
- Certified
- 2022-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.