Sand Lane Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

025486 Issued in NY

Legal business name

SAND LANE PHARMACY

Doing business as

yc pharmacy

Practice address

333 Sand LN
Staten Island, NY 10305-4500

Phone

(718) 556-3330

Fax

(718) 556-1291

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Boris Natenzon, RPH

Title

Vice President

Phone

(718) 556-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• yc pharmacy Doing business as

Locations

Practitioners 1

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

• Allison Borowik

  • Pharmacist
  • Staten Island, NY
  • NPI 1265762637
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063401651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054500",
            "telephone_number": "718-556-3330",
            "fax_number": "718-556-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054500",
            "telephone_number": "718-556-3330",
            "fax_number": "718-556-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LANE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-556-3330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02317917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yc pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoali Guadalupe Sanchez
• Ines Sancho Torres, M.D.
• Sanctuary Mental Health Counseling, PLLC
• Sand Lane Dental PC
• Sand Lane Drugs Inc
• Soe Sandar, MD
• Cheryl Lynn Sanders
• Corisha S Sanders, LMSW
• Elena Sanders, M.D.
• Kristen P. Sanders, M.S., ED.

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.