Organization Active NPI

Northport Chemists Inc

Doing business as Jones Drug Store

  • Pharmacy
  • Northport, NY
National Provider Identifier
1275697005
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
005908 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Mr. Vincent A Terranova, RPHNPI 1457537623
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00274539MedicaidNY

Other names 1

  • Jones Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.