IndividualActive
Nicholas Bilello, SUP RPH
NPI 1104968296 · Community/Retail Pharmacy · Hicksville, NY
Provider details
- NPI number
- 1104968296
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Credential
- SUP RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 025543 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
524 S Broadway
Hicksville, NY 11801-5013
Phone: (516) 433-7115
Fax: (516) 433-2738
Street-level locationGet directions
Mailing address
524 S Broadway
Hicksville, NY 11801-5013
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.