Organization Active NPI

DM Pharmacy,Inc.

  • General Acute Care Hospital
  • Wantagh, NY
National Provider Identifier
1114204575
Registry record updated Nov 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
040895 Issued in NY
Legal business name
DM PHARMACY,INC.
Practice address
960 Simon PL
Wantagh, NY 11793-1645
Phone
(516) 508-6737
NPI assigned
Nov 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2011

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

Authorized official

Name
Mr. Mo A Dalia
Title
Owner
Phone
(718) 221-6814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 040895 NY Primary

Addresses

Primary practice location

960 Simon PL
Wantagh, NY 11793-1645

Mailing address

960 Simon PL
Wantagh, NY 11793-1645
Phone (516) 508-6737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321056000000",
    "number": "1114204575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SIMON PL",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931645",
            "telephone_number": "516-508-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SIMON PL",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931645",
            "telephone_number": "516-508-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A",
        "authorized_official_last_name": "DALIA",
        "authorized_official_first_name": "MO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-221-6814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "040895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.