NPIMap

Organization Active NPI

Maple Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Carle Place, NY
National Provider Identifier
1255462743
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAPLE PHARMACY
Practice address
570 Westbury Ave
Carle Place, NY 11514-1708
Phone
(516) 876-4900
Fax
(516) 876-4912
NPI assigned
Mar 8, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
David AbreuNPI 1578694048
Title
SP
Phone
(516) 876-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary
Pharmacist 183500000X 025458 NY

Addresses

Primary practice location

570 Westbury Ave
Carle Place, NY 11514-1708

Mailing address

570 Westbury Ave
Carle Place, NY 11514-1708

Other identifiers 1

IdentifierTypeStateIssuer
02339999MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1255462743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141708",
            "telephone_number": "516-876-4900",
            "fax_number": "516-876-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "516-876-4900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "025458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02339999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.