Organization Active NPI

Skyemed,LLC

  • Long Term Care Pharmacy
  • Far Rockaway, NY
National Provider Identifier
1174692065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
027765 Issued in NY
Legal business name
SKYEMED,LLC
Practice address
1858 Cornaga Avenue
Far Rockaway, NY 11691
Phone
(718) 502-9265
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Deirdre Laphaun Salaman, DPM
Title
Vice-President
Phone
(718) 502-9265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 027765 NY Primary

Addresses

Primary practice location

1858 Cornaga Avenue
Far Rockaway, NY 11691

Mailing address

1858 Cornaga Ave
Far Rockaway, NY 11691-4304
Phone (718) 502-9265

National Provider Directory

National Provider Directory

Locations

1858 Cornaga Ave
Far Rockaway, NY 11691
Phone (347) 926-4134

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174692065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 CORNAGA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914304",
            "telephone_number": "718-502-9265",
            "fax_number": "718-502-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 CORNAGA AVENUE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-502-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYEMED,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAMAN",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "LAPHAUN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-502-9265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "027765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, 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.