Active NPI
Golden Pharmaceutical Inc
Doing business as Salud y Vida Farmacia
- Community/Retail Pharmacy
- Brentwood, NY
National Provider Identifier
1023422813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 032917
- Legal business name
- GOLDEN PHARMACEUTICAL INC
- Doing business as
- Salud y Vida Farmacia
- Practice address
- 1077 Suffolk Ave
Brentwood, NY 11717-4503 - Phone
- (631) 273-0101
- NPI assigned
- Jun 19, 2014
- Last updated
- Oct 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Alcala
- Title
- President
- Phone
- (631) 796-6415
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 032917 | NY | Primary |
Addresses
Primary practice location
1077 Suffolk Ave
Brentwood, NY 11717-4503
Mailing address
22 Highland Rd
Brentwood, NY 11717-1609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148258 | Other | PK |
Other names 1
- Salud y Vida Farmacia
National Provider Directory
National Provider DirectoryLocations
1077 Suffolk Ave
Brentwood, NY 11717
Phone (631) 273-0101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413417600000",
"number": "1023422813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HIGHLAND RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 SUFFOLK AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174503",
"telephone_number": "631-273-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN PHARMACEUTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2014-10-16",
"status": "A",
"authorized_official_last_name": "ALCALA",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-796-6415"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "032917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148258",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Salud y Vida Farmacia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.