Active NPI
343Drug Mart Inc
Doing business as Island Drugs & Surgicals
- Durable Medical Equipment & Medical Supplies
- Levittown, NY
National Provider Identifier
1144238759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 033671-1
- Legal business name
- 343DRUG MART INC
- Doing business as
- Island Drugs & Surgicals
- Practice address
- 343 Wantagh Ave
Levittown, NY 11756-5310 - Phone
- (516) 731-6885
- Fax
- (516) 731-6933
- NPI assigned
- Aug 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Lee Hosenbold, RPH
- Title
- President
- Phone
- (516) 731-6885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 033671-1 | NY | Primary |
Addresses
Primary practice location
343 Wantagh Ave
Levittown, NY 11756-5310
Mailing address
343 Wantagh Ave
Levittown, NY 11756-5310
Phone (516) 731-6885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00868617 | Medicaid | NY |
Other names 1
- ISLAND DRUGS & SURGICALS
National Provider Directory
National Provider DirectoryLocations
343 Wantagh Ave
Levittown, NY 11756
Phone (516) 731-6885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144238759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 WANTAGH AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565310",
"telephone_number": "516-731-6885",
"fax_number": "516-731-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WANTAGH AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565310",
"telephone_number": "516-731-6885",
"fax_number": "516-731-6933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "343DRUG MART INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOSENBOLD",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-731-6885",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "033671-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00868617",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ISLAND DRUGS & SURGICALS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Levittown, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.