Maria Byrne, RPH
Individual provider Active NPI Pharmacist · Centereach, NY
NPI 1265600134 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1265600134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 036063-1 (NY)
- Practice address
- 2150 Middle Country Rd
Centereach, NY 11720-3519 - Phone
- (631) 737-3206
- Fax
- (631) 737-3214
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036063-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036063-1 | NY | Yes |
Addresses
Primary practice location
2150 Middle Country Rd
Centereach, NY 11720-3519
Mailing address
2150 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 737-3206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00383404 | Medicaid | NY |
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.