B R G Chemists Inc
Organization Active NPI Community/Retail Pharmacy · Williston Park, NY
NPI 1346388337 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1346388337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 015586 (NY)
- Legal business name
- B R G CHEMISTS INC
- Practice address
- 330 Hillside Ave
Williston Park, NY 11596-2104 - Phone
- (516) 746-0646
- Fax
- (516) 742-8273
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Maryellen McLaughlin
- Title
- President
- Phone
- (516) 746-0646
Practitioners 3
-
Cindy Dubon, RPH
-
Kaitlin Marie McLaughlin, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| 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
Locations
330 Hillside Ave
Williston Park, NY 11596
Phone (516) 746-0646
300 Hillside Ave
Willston Park, NY 11596
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 015586 | NY | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00397026 | Medicaid | NY | |
| 3300061 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- LAFAYETTE PHARMACY
Other providers in Williston Park, NY
- Anthony Belo Physical Therapy PC
- Antonella Apicella
- Asics Pharmacy Inc
- Melissa B. Atkinson
- Audiological Consulting, P.C.
- Felice Ellen Barasch-Giedt
- Vanessa Barisano
- Beth I Barnett
- Alissa Gilde Barosin
- Adrienne M Barrett
All providers in Williston Park, 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 Nov 18, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.