NPIMap

Organization Active NPI

State of New York Comptrollers Office

Doing business as SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy

  • Clinic/Center
  • Stony Brook, NY
National Provider Identifier
1073633269
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
014702 Issued in NY
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Doing business as
SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy
Practice address
1 Stadium Rd
Stony Brook, NY 11794-3191
Phone
(631) 632-6804
Fax
(631) 632-6936
NPI assigned
Mar 30, 2007
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ms. Sanjay Dave, RPH
Title
Supervising Pharmacist
Phone
(631) 632-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 014702 NY Primary

Addresses

Primary practice location

1 Stadium Rd
Stony Brook, NY 11794-3191

Mailing address

1 Stadium Rd
Stony Brook, NY 11794-3191
Phone (631) 632-6804

Other identifiers 1

IdentifierTypeStateIssuer
3357212OtherNYNCPDP

Other names 1

  • SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RPC-Middletown Mental Health Clinic269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1073633269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STADIUM RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117943191",
            "telephone_number": "631-632-6804",
            "fax_number": "631-632-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117943191",
            "telephone_number": "631-632-6804",
            "fax_number": "631-632-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-632-6804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "014702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3357212",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.