Old Country Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027854 Issued in NY

Legal business name

OLD COUNTRY PHARMACY INC

Doing business as

Parkside Pharmacy

Practice address

10 Honey Locust CT
Dix Hills, NY 11746-6253

Phone

(516) 551-0775

Fax

(516) 551-0775

NPI assigned

Jul 28, 2006

Last updated

Feb 24, 2016By 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

Mitchel Melone, RPH

Title

Owner/President

Phone

(516) 270-3965

Specialties & licenses 1

Addresses

Other names 1

• PARKSIDE PHARMACY Doing business as

Locations

Practitioners 3

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.

• Mitchell Melone

  • Pharmacist
  • New Hyde Park, NY
  • NPI 1144542721
  NPD
• Neil Christopher Dubon, RPH

  • Pharmacist
  • Westbury, NY
  • NPI 1194048595
  NPD (past)
• Joseph John Langone III

  • Pharmacist
  • Westbury, NY
  • NPI 1245553338
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1255345005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904511",
            "telephone_number": "516-270-3965",
            "fax_number": "516-502-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HONEY LOCUST CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466253",
            "telephone_number": "516-551-0775",
            "fax_number": "516-551-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COUNTRY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "MELONE",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-270-3965",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nys Office of Mental Health
• Nys Office of Mental Health
• Keara Lee O'Bryen, LMSW
• Kikelomo Ogundiran
• Olaoluwa Oyesoji Oje, PTA
• Marion Otten, OTR/L
• Frank E Owczarek, DC
• Amanda Theresa Rose Owens
• Hailey Ozsvath, LMHC, LPC, CRC
• Kathleen E Pabisch

• Community/Retail Pharmacy in Dix Hills, NY
• Providers in Dix Hills, 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 24, 2016; 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.