Active NPI
A & M Pharmacy and Surgical Supplies LLC
- Pharmacy
- Floral Park, NY
National Provider Identifier
1336443530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 17030412
- Legal business name
- A & M PHARMACY AND SURGICAL SUPPLIES LLC
- Practice address
- 256-17-19 Hillside Ave
Floral Park, NY 11004 - Phone
- (718) 343-5900
- NPI assigned
- Jan 3, 2011
- 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
- Dipesh Shah, RPH
- Title
- Supervising Pharmacist
- Phone
- (917) 902-3432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 17030412 | NY | Primary |
Addresses
Primary practice location
256-17-19 Hillside Ave
Floral Park, NY 11004
Mailing address
256-17-19 Hillside Ave
Floral Park, NY 11004
Phone (718) 343-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110322000368 | NY | DME Supplier - Pharmacy | 2163605601 | Practice locations: Floral Park, NY |
| O20240409002137 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163605601 | Practice locations: Floral Park, NY |
| O20260227002421 | NY | Part B Supplier - Pharmacy | 2163605601 | Practice locations: Floral Park, NY |
National Provider Directory
National Provider DirectoryLocations
25617 Hillside Ave
Glen Oaks, NY 11004
Phone (718) 343-5900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1003131525
-
- Pharmacist
- Floral Park, NY
- NPI 1235938077
-
- Pharmacist
- Glen Oaks, NY
- NPI 1811793474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309996800000",
"number": "1336443530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256-17-19 HILLSIDE AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-343-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256-17-19 HILLSIDE AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-343-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & M PHARMACY AND SURGICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2011-07-07",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "DIPESH",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "917-902-3432",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "17030412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.