Active NPI
Sisters of St. Joseph
- Pharmacy
- Brentwood, NY
National Provider Identifier
1265455257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 013318
- Legal business name
- SISTERS OF ST. JOSEPH
- Doing business as
- MARIA REGINA CONVENT PHARMACY
- Practice address
- 1725 Brentwood Rd
Brentwood, NY 11717-5543 - Phone
- (631) 299-3029
- Fax
- (631) 952-2378
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Twomey
- Title
- Pharmacy MGR
- Phone
- (631) 299-3029
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 013318 | NY | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1725 Brentwood Rd
Brentwood, NY 11717-5543
Mailing address
1725 Brentwood Rd
Brentwood, NY 11717-5543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3320619 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 01668184 | Medicaid | NY |
Other names 1
- MARIA REGINA CONVENT PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1265455257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175543",
"telephone_number": "631-299-3029",
"fax_number": "631-952-2378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISTERS OF ST. JOSEPH",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "TWOMEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PHARMACY MGR",
"authorized_official_telephone_number": "631-299-3029"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "013318",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3320619",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01668184",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARIA REGINA CONVENT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.