Organization Active NPI

Eds Healthcare Pharmacy

  • Community/Retail Pharmacy
  • Floral Park, NY
National Provider Identifier
1235429978
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030626 Issued in NY
Legal business name
EDS HEALTHCARE PHARMACY
Practice address
30 Van Siclen Ave
Floral Park, NY 11001-2013
Phone
(516) 775-2524
Fax
(516) 775-2527
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Arthur Weiner, RPH
Title
President
Phone
(516) 775-2524

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 030626 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

30 Van Siclen Ave
Floral Park, NY 11001-2013

Mailing address

30 Van Siclen Ave
Floral Park, NY 11001-2013
Phone (516) 775-2524

Other identifiers 1

IdentifierTypeStateIssuer
2130016OtherPK

Other names 1

  • EDS Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

30 Van Siclen Ave
Floral Park, NY 11001
Phone (516) 775-2524

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1235429978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VAN SICLEN AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012013",
            "telephone_number": "516-775-2524",
            "fax_number": "516-775-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VAN SICLEN AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012013",
            "telephone_number": "516-775-2524",
            "fax_number": "516-775-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDS HEALTHCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-775-2524",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030626",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDS Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.