Active NPI
Northport Chemists Inc
Doing business as Jones Drug Store
- Pharmacy
- Northport, NY
National Provider Identifier
1275697005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 005908
- Legal business name
- NORTHPORT CHEMISTS INC
- Doing business as
- Jones Drug Store
- Practice address
- 100 Main St
Northport, NY 11768 - Phone
- (631) 261-7070
- Fax
- (631) 261-7171
- NPI assigned
- Dec 19, 2006
- Last updated
- Nov 9, 2010
- 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
- Mr. Vincent A Terranova, RPH
- Title
- Owner Pharmacist
- Phone
- (631) 261-7070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 005908 | NY | Primary |
Addresses
Primary practice location
100 Main St
Northport, NY 11768
Mailing address
100 Main St
Northport, NY 11768
Phone (631) 261-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274539 | Medicaid | NY |
Other names 1
- Jones Drug Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180130002306 | NY | Part B Supplier - Pharmacy | 7214297845 | Practice locations: Northport, NY |
| O20201209000006 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214297845 | Practice locations: Northport, NY |
National Provider Directory
National Provider DirectoryLocations
100 Main St
Northport, NY 11768
Phone (631) 261-7070
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Northport, NY
- NPI 1457537623
-
- Pharmacist
- Northport, NY
- NPI 1902394562
-
- Pharmacist
- Northport, NY
- NPI 1609190008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1275697005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-261-7070",
"fax_number": "631-261-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-261-7070",
"fax_number": "631-261-7171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPORT CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "TERRANOVA",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "631-261-7070",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "005908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274539",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jones Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.