Organization Active NPI

Sharon Lynn Pharmacy Inc

  • Pharmacy
  • Glendale, NY
National Provider Identifier
1154468361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16843 Issued in NY
Legal business name
SHARON LYNN PHARMACY INC
Doing business as
Drugtown Pharmacy
Practice address
64-16 Murtle Ave
Glendale, NY 11385-6203
Phone
(718) 381-3014
Fax
(718) 417-4699
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Harold Allen Clements, RPH MS
Title
Pres Supervising Pharmacist
Phone
(718) 381-3014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16843 NY Primary

Addresses

Primary practice location

64-16 Murtle Ave
Glendale, NY 11385-6203

Mailing address

64-16 Murtle Ave
Glendale, NY 11385-6203
Phone (718) 381-3014

Other identifiers 1

IdentifierTypeStateIssuer
00486517MedicaidNY

Other names 1

  • Drugtown Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drugtown2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154468361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-16 MURTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856203",
            "telephone_number": "718-381-3014",
            "fax_number": "718-417-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-16 MURTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856203",
            "telephone_number": "718-381-3014",
            "fax_number": "718-417-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON LYNN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRES SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-381-3014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH MS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "16843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00486517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drugtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, 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.

Verify at the official NPI Registry.