IndividualActive
Charles Breitstadt, PHARMD
NPI 1467040576 · Pharmacist · Wading River, NY
Provider details
- NPI number
- 1467040576
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 066652 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
6221 Ny-25a
Wading River, NY 11792
Phone: (631) 929-6040
Street-level locationGet directions
Mailing address
1600 Pine Neck Rd
Southold, NY 11971-3403
Additional practice locations (1)
- 201 Manor PlGreenport, NY 11944-1298Phone: (631) 477-8877
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2021-01-05
- Certified
- 2020-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.