IndividualActive
Jean Formisano, RPH
NPI 1811219629 · Pharmacist · Riverhead, NY
Jean Formisano, RPH is a Pharmacist provider in Riverhead, NY (NPI 1811219629).
Provider details
- NPI number
- 1811219629
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 048664 (NY)
Practice location
1196 Old Country Rd
Riverhead, NY 11901-2066
Phone: (631) 208-0239
Fax: (631) 208-0262
Street-level locationGet directions
Mailing address
8 Gatz Rd
Riverhead, NY 11901-2362
Registry dates
- Enumerated
- 2010-02-20
- Last updated
- 2010-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.