Prince Bay Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

014880 Issued in NY

Legal business name

PRINCE BAY PHARMACY

Doing business as

Princes Bay Pharmacy

Practice address

59 Seguine Ave
Staten Island, NY 10309-3722

Phone

(718) 984-2113

Fax

(718) 948-1195

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Robert BakerNPI 1558421776

Title

Owner Pharmacist

Phone

(718) 984-2113

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRINCES BAY PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Baker, BS PHARMACY

  • Pharmacist
  • Staten Island, NY
  • NPI 1558421776
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1346261310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093722",
            "telephone_number": "718-984-2113",
            "fax_number": "718-948-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093722",
            "telephone_number": "718-984-2113",
            "fax_number": "718-948-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE BAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "718-984-2113"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "014880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00265361",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3304994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCES BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gina-Marie Principe
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• Georges M Princivil, PA
• Megan Prindle
• George Pringle, CASAC

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Jan 30, 2013; 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.