Organization Active NPI

P.a.W. Drug Mart Inc

Doing business as Drug Mart

  • Community/Retail Pharmacy
  • Bellmore, NY
National Provider Identifier
1275676801
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
018803 Issued in NY
Legal business name
P.A.W. DRUG MART INC
Doing business as
Drug Mart
Practice address
2711 Merrick Rd
Bellmore, NY 11710-5719
Phone
(516) 785-4774
Fax
(516) 785-4432
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mr. Paul A Wurtz, RPH
Title
Owner
Phone
(516) 785-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 018803 NY Primary

Addresses

Primary practice location

2711 Merrick Rd
Bellmore, NY 11710-5719

Mailing address

2711 Merrick Rd
Bellmore, NY 11710-5719
Phone (516) 785-4774

Other identifiers 2

IdentifierTypeStateIssuer
3384384OtherNYNABP
00921724MedicaidNY

Other names 1

  • Drug Mart Doing business as

National Provider Directory

National Provider Directory

Locations

2711 Merrick Rd
Bellmore, NY 11710
Phone (516) 785-4774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1275676801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105719",
            "telephone_number": "516-785-4774",
            "fax_number": "516-785-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105719",
            "telephone_number": "516-785-4774",
            "fax_number": "516-785-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.W. DRUG MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "WURTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-785-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "018803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3384384",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.