Surfside Chemists

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

015178 Issued in NY

Legal business name

SURFSIDE CHEMISTS

Practice address

1079 W Beech St
East Atlantic Beach, NY 11561-1115

Phone

(516) 432-4816

Fax

(516) 432-4853

NPI assigned

Jul 30, 2006

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harold Fox

Title

President

Phone

(516) 432-4816

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1033124649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 LAGOON DR E",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W BEECH ST",
            "city": "EAST ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115611115",
            "telephone_number": "516-432-4816",
            "fax_number": "516-432-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE CHEMISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-432-4816"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "015178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3302976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3302976",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00331168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle Smith
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• Allison Tocco, R.PH
• Maria Vazquez-Wright
• Leah Michele Vitale, OTR/L
• Gianna Nicole Volkes, LCSW

• Community/Retail Pharmacy in East Atlantic Beach, NY
• Providers in East Atlantic Beach, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.