Active NPI
Amy Nicole Ungar
- Pharmacist
- Commack, NY
National Provider Identifier
1104094390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048304-1
- Practice address
- 4 Henry St
Pharmacy T-1387
Commack, NY 11725-5423 - Phone
- (631) 462-5463
- NPI assigned
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048304-1 | NY | Primary |
Addresses
Primary practice location
4 Henry St
Pharmacy T-1387
Commack, NY 11725-5423
Mailing address
24 Woodstork Dr
Mount Sinai, NY 11766-3400
Phone (631) 521-7041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02691734 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048304-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1104094390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WOODSTORK DR",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117663400",
"telephone_number": "631-521-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HENRY ST",
"address_2": "PHARMACY T-1387",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255423",
"telephone_number": "631-462-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGAR",
"first_name": "AMY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048304-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02691734",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
- True Well LLC
- Turning Points CFS, Inc.
- Elyse Victoria Tursi, D.C.
- Alison Flohn Tyrell, SCHOOL PSYCHOLOGIST
- Dinosca Melissa Umana
- United Cerebral Palsy Association of Greater Suffolk, Inc
- United Cerebral Palsy Association of Greater Suffolk, Inc.
- United Supports for Autism
- Universal Hearing LLC
- University Hospital at Stony Brook
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.