Organization Active NPI

Midway Drugs

  • Community/Retail Pharmacy
  • Westbury, NY
National Provider Identifier
1154471803
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
014577 Issued in NY
Legal business name
MIDWAY DRUGS
Practice address
822 Carman Ave
Westbury, NY 11590-6428
Phone
(516) 997-8330
Fax
(516) 997-1994
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Kristine MercardanteNPI 1679896294
Title
VP
Phone
(516) 997-8330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 014577 NY Primary

Addresses

Primary practice location

822 Carman Ave
Westbury, NY 11590-6428

Mailing address

822 Carman Ave
Westbury, NY 11590-6428

Other identifiers 2

IdentifierTypeStateIssuer
3316393OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00383308MedicaidNY

Other names 1

  • MIDWAY DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

822 Carman Ave
Westbury, NY 11590
Phone (516) 997-8330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1154471803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CARMAN AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CARMAN AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906428",
            "telephone_number": "516-997-8330",
            "fax_number": "516-997-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "MERCARDANTE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "516-997-8330"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3316393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00383308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWAY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.