Organization Active NPI

S & D Pharmacy Inc

  • Pharmacy
  • Lynbrook, NY
National Provider Identifier
1003905795
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
017908 Issued in NY
Legal business name
S & D PHARMACY INC
Practice address
493 Sunrise Hwy
Lynbrook, NY 11563-3017
Phone
(516) 593-9350
Fax
(516) 599-9614
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dong Hee Kim, BS/MS/RPH
Title
Pres/Pharm
Phone
(516) 593-9350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 017908 NY Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

493 Sunrise Hwy
Lynbrook, NY 11563-3017

Mailing address

493 Sunrise Hwy
Lynbrook, NY 11563-3017

Other identifiers 2

IdentifierTypeStateIssuer
00813612MedicaidNY
3378658OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • TRI TOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

493 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 593-9350

Practitioners & affiliated clinicians

Practitioners 3

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1003905795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633017",
            "telephone_number": "516-593-9350",
            "fax_number": "516-599-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & D PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG HEE",
        "authorized_official_title_or_position": "PRES/PHARM",
        "authorized_official_telephone_number": "516-593-9350",
        "authorized_official_credential": "BS/MS/RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "017908",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00813612",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3378658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI TOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.