New Island Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031408 Issued in NY

Legal business name

NEW ISLAND PHARMACY INC

Doing business as

New Island Pharmacy Inc.

Practice address

1912 Deer Park Ave
Deer Park, NY 11729-3332

Phone

(631) 392-4800

Fax

(631) 392-4801

NPI assigned

Jul 23, 2012

Last updated

Sep 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nidhin MohanNPI 1215190046

Title

Supervising Pharmacist

Phone

(631) 392-4800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NEW ISLAND PHARMACY INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

New Island Pharmacy Inc2 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.

• New Island Pharmacy Inc.

  • Long Term Care Pharmacy
  • Deer Park, NY
  • NPI 1831072669
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nidhin Mohan, R.PH

  • Pharmacist
  • Islip Terrace, NY
  • NPI 1215190046
  NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1205181609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 DEER PARK AVE STE A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293332",
            "telephone_number": "631-392-4800",
            "fax_number": "631-392-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293332",
            "telephone_number": "631-392-4800",
            "fax_number": "631-392-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ISLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "NIDHIN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-392-4800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6716630001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW ISLAND PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nelco Laboratories Inc
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• Christina Nelson, LMSW
• Fabienne Noreva Nelson
• Nepenthe Inc
• New Island Pharmacy Inc.
• Euane J. Newen, D.D.S
• Next Level Accessibility Inc.
• Nextgen Health Supplies Inc
• Kenneth Thang Quoc Nguyen, RPH

• Community/Retail Pharmacy in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.