Bethpage Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Bethpage, NY
NPI 1295875128 · NPPES record last updated Sep 13, 2017
Key facts
- NPI
- 1295875128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 025594 (NY)
- Legal business name
- BETHPAGE PHARMACY INC
- Practice address
- 334 Broadway
Bethpage, NY 11714-3007 - Phone
- (516) 931-1481
- Fax
- (516) 931-1489
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve Jacobson, RPH
- Title
- Head Pharmacist
- Phone
- (516) 931-1481
Practitioners 5
-
Jeffrey Langiulli, RPH
-
Steve Gary Jacobson, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bethpage Pharmacy Inc |
Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170926001795 | NY | Part B Supplier - Pharmacy | 0143594671 | Practice locations: Bethpage, NY |
| O20180725000458 | NY | DME Supplier - Pharmacy | 0143594671 | Practice locations: Bethpage, NY |
National Provider Directory
Locations
334 Broadway
Bethpage, NY 11714
Phone (516) 931-1481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 025594 | NY | Yes |
Addresses
Primary practice location
334 Broadway
Bethpage, NY 11714-3007
Mailing address
334 Broadway
Bethpage, NY 11714-3007
Phone (516) 931-1481
Other providers in Bethpage, NY
- Bethpage Magnetic Resonance Imaging, PC
- Bethpage Medical Practice PLLC
- Bethpage Medical Wellness PC
- Bethpage OB/GYN, P.C.
- Bethpage Optical, LLC
- Bethpage Physical Therapy Assoc PC
- Bethpage Union Free School District
- Saumya Bhasin
- Ballambattu R Bhat
- Bhatt Dental PLLC
All providers in Bethpage, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.