Shore Pharmaceutical Providers

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

33065 Issued in NY

Legal business name

SHORE PHARMACEUTICAL PROVIDERS

Practice address

24812 82ND Ave
Bellerose, NY 11426-2502

Phone

(718) 347-4844

NPI assigned

Feb 25, 2010

Organization subpart

Yes

Parent organization

OMNICAREESC LLCAs reported in NPPES

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

Authorized official

Name

Mr. Ivan Gordon

Title

Ceo

Phone

(516) 938-8080

Specialties & licenses 1

Addresses

Part of

Shore Pharmaceutical Providers

Practitioners 1

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

• Syed Abid Saeed

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bellerose, NY
  • NPI 1750604773
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1134441686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 82ND AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262502",
            "telephone_number": "718-347-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24812 82ND AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262502",
            "telephone_number": "718-347-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PHARMACEUTICAL PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNICAREESC LLC",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-938-8080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "33065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Niketan Inc
• Kirandeep Sharma
• Shubhra Sharma, PHARMD
• Pearline Shaw, LMSW
• Kimberlyn K Shelton
• Teresa Shum-Leung, PT
• Naveda Simms, LMSW
• Derina Simplice, RN
• Sanjiv K Singh
• Nina S Siton

• Health Maintenance Organization in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.