South Shore University Hospital

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035763 Issued in NY

Legal business name

SOUTH SHORE UNIVERSITY HOSPITAL

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(631) 894-5775

Fax

(631) 894-5781

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Drummond

Title

SVP, Chief Expense Officer

Phone

(631) 894-5775

Specialties & licenses 4

Addresses

Other names 1

• Vivo Health Pharmacy at South Shore Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• South Shore University Hospital

  • Psychiatric Hospital Unit
  • Bay Shore, NY
  • NPI 1366450298

  7214823764

  Same PAC ID
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381

  7214823764

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Southside Hospital HHA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Norwell Health at Southside Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1013374115
  NPD tax ID
• Oakdale Medical Services

  • Obstetrics & Gynecology Physician
  • Oakdale, NY
  • NPI 1891998373
  NPD tax ID
• South Shore University Hospital

  • Psychiatric Hospital Unit
  • Bay Shore, NY
  • NPI 1366450298
  NPD tax ID
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Shore Long Island Jewish Healthcare Inc.

  • Surgery Physician
  • Westbury, NY
  • NPI 1427428150

  Member Of

  NPD member

Locations

Practitioners 1

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

• Meaghan Horan, FAMILY NP

  • Family Nurse Practitioner
  • Bay Shore, NY
  • NPI 1629750666
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1235640210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 118",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "631-894-5775",
            "fax_number": "631-894-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-894-5775",
            "fax_number": "631-894-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SVP, CHIEF EXPENSE OFFICER",
        "authorized_official_telephone_number": "631-894-5775",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035763",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Health Pharmacy at South Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Shore Faculty Medical Affiliates, University Faculty Practice Co
• South Shore Infectious Diseases , PC
• South Shore Psychiatric Nurse Practitioner Group
• South Shore SC, LLC
• South Shore Surgical Consulting PC
• South Shore University Hospital
• South Shore University Hospital
• Southshore Medical Practice Management, Inc
• Southside Hospital
• Southside Hospital

• Community/Retail Pharmacy in Bay Shore, NY
• Providers in Bay Shore, 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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.