Country Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

010285 Issued in NY

Legal business name

COUNTRY VILLAGE PHARMACY INC

Practice address

242 E Main St
East Islip, NY 11730-2712

Phone

(631) 581-7878

Fax

(631) 581-4712

NPI assigned

Mar 1, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Truncale

Title

VP

Phone

(631) 581-7878

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Robert Scher, B.S. PHARMACY

  • Pharmacist
  • East Islip, NY
  • NPI 1285957480
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1285762419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302712",
            "telephone_number": "631-581-7878",
            "fax_number": "631-581-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "TRUNCALE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "631-581-7878"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "010285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3309300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Galante Nurse Practitioner in Psychiatry, PLLC
• Jaclyn Cinquemani, M.A., BCBA
• John Francis Cody, OTR/L
• Matthew F Colucci, P.T.
• Mireille Mompoint Constant, MD
• Scott Coyne, MD
• Anthony Joseph Crivello, DDS
• Kathleen Cronin, LMSW
• Juliette Sophia Cruz, DPT
• Vanessa Lynn Cuffie

• Community/Retail Pharmacy in East Islip, NY
• Providers in East Islip, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.