Saint Patrick Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAINT PATRICK PHARMACY CORP

Practice address

3920 29TH St
Long Island City, NY 11101-3708

Phone

(718) 540-7905

Fax

(718) 540-9285

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Dennis Bravo

Title

Owner

Phone

(718) 540-7905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1255189767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 29TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013708",
            "telephone_number": "718-540-7905",
            "fax_number": "718-540-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 29TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013708",
            "telephone_number": "718-540-7905",
            "fax_number": "718-540-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PATRICK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-540-7905"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ornela Sada
• Aishwarya Sadagopan, MBBS
• Ashley Sahadeo
• Tehilla Saidi
• Marie K Saint Jean, LMSW
• Alexandra Decarry Saintil
• Karmita Saintime, RN
• Norman Saul Sakolsky, PHARMACIST
• Payne Sakyi
• Temitope Salako

• Community/Retail Pharmacy in Long Island City, NY
• Providers in Long Island City, 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 May 9, 2024; 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.