Active NPI
B R G Chemists Inc
Doing business as Lafayette Pharmacy
- Community/Retail Pharmacy
- Williston Park, NY
National Provider Identifier
1346388337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 015586
- Legal business name
- B R G CHEMISTS INC
- Doing business as
- Lafayette Pharmacy
- Practice address
- 330 Hillside Ave
Williston Park, NY 11596-2104 - Phone
- (516) 746-0646
- Fax
- (516) 742-8273
- NPI assigned
- Feb 2, 2007
- Last updated
- Nov 18, 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
- Maryellen McLaughlin
- Title
- President
- Phone
- (516) 746-0646
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 015586 | NY | Primary |
Addresses
Primary practice location
330 Hillside Ave
Williston Park, NY 11596-2104
Mailing address
330 Hillside Ave
Williston Park, NY 11596-2104
Phone (516) 746-0646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00397026 | Medicaid | NY | |
| 3300061 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- LAFAYETTE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190212000817 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214275585 | Practice locations: Williston Park, NY |
National Provider Directory
National Provider DirectoryLocations
330 Hillside Ave
Williston Park, NY 11596
Phone (516) 746-0646
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Williston Park, NY
- NPI 1629401609
-
- Pharmacist
- Williston Park, NY
- NPI 1225628407
-
- Pharmacist
- Williston Park, NY
- NPI 1346756285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1346388337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962104",
"telephone_number": "516-746-0646",
"fax_number": "516-742-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962104",
"telephone_number": "516-746-0646",
"fax_number": "516-742-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B R G CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "MCLAUGHLIN",
"authorized_official_first_name": "MARYELLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-746-0646"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "015586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00397026",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3300061",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAFAYETTE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williston Park, NY
- Anthony Belo Physical Therapy PC (Total Performance Physical Therapy)
- Antonella Apicella, MS RD CDN
- Asics Pharmacy Inc (Andrews Pharmacy)
- Melissa B. Atkinson, L.C.S.W.
- Audiological Consulting, P.C.
- Felice Ellen Barasch-Giedt, LCSW
- Vanessa Barisano, NP
- Beth I Barnett
- Alissa Gilde Barosin, PH.D.
- Adrienne M Barrett, FNP-BC, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.