Active NPI
Port Washington Pharmacy Inc
- Community/Retail Pharmacy
- Port Washington, NY
National Provider Identifier
1043034754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PORT WASHINGTON PHARMACY INC
- Practice address
- 99 Manorhaven Blvd
Port Washington, NY 11050-1521 - Phone
- (516) 699-3027
- NPI assigned
- Nov 9, 2024
- 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
- Ana Patricia Calderon
- Title
- Owner
- Phone
- (516) 699-3027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
99 Manorhaven Blvd
Port Washington, NY 11050-1521
Mailing address
99 Manorhaven Blvd
Port Washington, NY 11050-1521
Phone (516) 699-3027
National Provider Directory
National Provider DirectoryLocations
99 Manorhaven Blvd
Port Washington, NY 11050
Phone (516) 699-3027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1043034754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MANORHAVEN BLVD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501521",
"telephone_number": "516-699-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MANORHAVEN BLVD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501521",
"telephone_number": "516-699-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT WASHINGTON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-09",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-699-3027"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
- Port Washington Dental Associates
- Port Washington Dental Care
- Port Washington Fire Department Inc
- Port Washington Hearing Center LLC
- Port Washington Medical Rehabilitation PLLC
- Port Washington Union Free School District
- Port Washington Union Free School District
- Portwash RX Inc
- Talia Poy, NP
- Premier Physician Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.