Organization Active NPI

Sisters of St. Joseph

  • Pharmacy
  • Brentwood, NY
National Provider Identifier
1265455257
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
013318 Issued in NY
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

Updated by the provider on Sep 29, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3320619OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01668184MedicaidNY

Other names 1

  • MARIA REGINA CONVENT PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.