Organization Active NPI

Locust Valley Chemists

  • Community/Retail Pharmacy
  • Locust Valley, NY
National Provider Identifier
1003800871
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOCUST VALLEY CHEMISTS
Practice address
60 Forest Ave
Locust Valley, NY 11560-1714
Phone
(516) 656-9090
Fax
(516) 656-0907
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Peter Coyne, R.PHNPI 1679896195
Title
Supervising Pharmacist
Phone
(516) 656-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

60 Forest Ave
Locust Valley, NY 11560-1714

Mailing address

60 Forest Ave
Locust Valley, NY 11560-1714
Phone (516) 656-9090

Other identifiers 2

IdentifierTypeStateIssuer
02590747MedicaidNY
026812OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000136 NY DME Supplier - Pharmacy 4486835709 Practice locations: Locust Valley, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Locust Valley Chemists Inc.60 Forest Ave, Locust Valley, NY 11560-1714(516) 656-9090 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 28, 2011

National Provider Directory

National Provider Directory

Locations

60 Forest Ave
Locust Valley, NY 11560
Phone (516) 656-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1003800871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601714",
            "telephone_number": "516-656-9090",
            "fax_number": "516-656-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601714",
            "telephone_number": "516-656-9090",
            "fax_number": "516-656-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST VALLEY CHEMISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-656-9090",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590747",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "026812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.