Organization Active NPI

Island Drugs LLC

  • Community/Retail Pharmacy
  • Jericho, NY
National Provider Identifier
1164971818
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035008 Issued in NY
Legal business name
ISLAND DRUGS LLC
Doing business as
Island Drugs LLC
Practice address
336 N Broadway
Pharmacy Dept
Jericho, NY 11753-2031
Phone
(516) 490-5595
Fax
(516) 490-5594
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Joan YiuNPI 1851578504
Title
Pharmacist
Phone
(516) 490-5595

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 035008 NY Primary

Addresses

Primary practice location

336 N Broadway
Pharmacy Dept
Jericho, NY 11753-2031

Mailing address

PO Box 43
Old Bethpage, NY 11804-0043
Phone (516) 490-5595

Other identifiers 1

IdentifierTypeStateIssuer
2164444OtherPK

Other names 1

  • Island Drugs LLC Doing business as

National Provider Directory

National Provider Directory

Locations

336 N Broadway
Jericho, NY 11753
Phone (516) 490-0117

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1164971818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118040043",
            "telephone_number": "516-490-5595",
            "fax_number": "516-490-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N BROADWAY",
            "address_2": "PHARMACY DEPT",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532031",
            "telephone_number": "516-490-5595",
            "fax_number": "516-490-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "YIU",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "516-490-5595"
    },
    "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": "035008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Drugs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.