Organization Active NPI

SMS1 Pharmacy Corp

Doing business as medical center pharmacy of wyndanch

  • Community/Retail Pharmacy
  • Wyandanch, NY
National Provider Identifier
1326559048
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SMS1 PHARMACY CORP
Doing business as
medical center pharmacy of wyndanch
Practice address
1537 Straight Path
Wyandanch, NY 11798-3431
Phone
(631) 643-4354
Fax
(631) 643-4355
NPI assigned
Oct 20, 2017
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Sandeep Shah, RPHNPI 1417125667
Title
Pharmacist in Charge Vice Presidnet
Phone
(631) 643-4354

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
Community/Retail Pharmacy 3336C0003X NY Primary

Addresses

Primary practice location

1537 Straight Path
Wyandanch, NY 11798-3431

Mailing address

1537 Straight Path
Wyandanch, NY 11798-3431
Phone (631) 643-4354

Other names 1

  • medical center pharmacy of wyndanch Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180619000271 NY DME Supplier - Pharmacy 5294080131 Practice locations: Wyandanch, NY
O20240807001530 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5294080131 Practice locations: Wyandanch, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SMS1 Pharmacy Corp1537 Straight Path, Wyandanch, NY 11798-3431(631) 643-4354 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 6, 2018

National Provider Directory

National Provider Directory

Locations

1537 Straight Path
Ste 1
Wyandanch, NY 11798
Phone (631) 643-4354

Practitioners & affiliated clinicians

Practitioners 5

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": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1326559048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983431",
            "telephone_number": "631-643-4354",
            "fax_number": "631-643-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983431",
            "telephone_number": "631-643-4354",
            "fax_number": "631-643-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMS1 PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE VICE PRESIDNET",
        "authorized_official_telephone_number": "631-643-4354",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medical center pharmacy of wyndanch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.