Southrifty Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007552 Issued in NY

Legal business name

SOUTHRIFTY DRUG INC

Practice address

54 Jagger Lane
Southampton, NY 11968

Phone

(631) 283-1506

Fax

(631) 283-4936

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Emil GrisnikNPI 1306949722

Title

President/Supervising Pharmacist

Phone

(631) 283-1506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Robert Emil Grisnik

  • Pharmacist
  • Southampton, NY
  • NPI 1306949722
  NPD Authorized official
• Kimberly D. Foster, PHARMACIST

  • Pharmacist
  • Southampton, NY
  • NPI 1629300504
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083717409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 JAGGER LANE",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-1506",
            "fax_number": "631-283-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 JAGGER LANE",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-1506",
            "fax_number": "631-283-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHRIFTY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT/SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-283-1506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "007552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southampton Pulmonary Med PC
• Southampton Radiology PC
• Southampton Sleep Disorder Center, Inc.
• Southampton Ufsd
• Southampton Urgent Medical Care P C
• Thomas P Spagnoli, PTA, CPT
• Gerri Marie Sperling, NP
• Louis Ronald Spiegel, M.D.
• Adam Spinner
• Konstadinos J Spyris, D.O.

• Community/Retail Pharmacy in Southampton, NY
• Providers in Southampton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.