Organization Active NPI

CVS Health

  • Community/Retail Pharmacy
  • Glen Cove, NY
National Provider Identifier
1093104432
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
059623 Issued in NY
Legal business name
CVS HEALTH
Practice address
201 Glen St
Glen Cove, NY 11542-2734
Phone
(718) 555-2424
Fax
(516) 525-1142
NPI assigned
Jan 22, 2015
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Dr. Nohum Mandil, PHARM.D
Title
Pharmacist
Phone
(914) 268-1955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 059623 NY
Community/Retail Pharmacy 3336C0003X 059623 NY Primary

Addresses

Primary practice location

201 Glen St
Glen Cove, NY 11542-2734

Mailing address

201 Glen St
Glen Cove, NY 11542-2734
Phone (914) 759-5555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1093104432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GLEN ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422734",
            "telephone_number": "914-759-5555",
            "fax_number": "914-759-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GLEN ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422734",
            "telephone_number": "718-555-2424",
            "fax_number": "516-525-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "MANDIL",
        "authorized_official_first_name": "NOHUM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "914-268-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "059623",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "059623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.