Southold Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

010139 Issued in NY

Legal business name

SOUTHOLD PHARMACY INC

Doing business as

SOUTHOLD PHARMACY

Practice address

53895 Main Rd
Southold, NY 11971-4644

Phone

(631) 765-3434

Fax

(631) 765-4395

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Paulette Ofrias

Title

Owner

Phone

(631) 765-3434

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SOUTHOLD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Practitioners 2

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

• Suzanne Fujita, RPH

  • Pharmacist
  • Shelter Island Heights, NY
  • NPI 1629391099
  NPD
• Michelle P Callahan, PHARMACIST

  • Pharmacist
  • Southold, NY
  • NPI 1437472859
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1245314087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119710957",
            "telephone_number": "631-765-3434",
            "fax_number": "631-765-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53895 MAIN RD",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119714644",
            "telephone_number": "631-765-3434",
            "fax_number": "631-765-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHOLD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "OFRIAS",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-765-3434"
    },
    "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": "010139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHOLD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Mary Silvestro
• Lloyd Simon, M.D.
• Jay P Slotkin, MD
• Mary Anne Soto, RN
• Southold Acupuncture & Massage Therapy PLLC
• Southold Ufsd
• Kimberly M Spatafora, L.AC
• Speech, Language & Swallowing Consultants P.C.
• Steven J.N. Chierchie, D.C., P.C.
• Amy Storch, LCSW

• Community/Retail Pharmacy in Southold, NY
• Providers in Southold, 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 21, 2017; 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.