Organization Active NPI

NSD Pharmacy Corp

  • Community/Retail Pharmacy
  • Hicksville, NY
National Provider Identifier
1346747656
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NSD PHARMACY CORP
Practice address
495 S Broadway
Hicksville, NY 11801-5040
Phone
(516) 396-0608
Fax
(516) 396-0609
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Navjot BalNPI 1982036455
Title
Pharmacist/Owner
Phone
(516) 396-0608

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

495 S Broadway
Hicksville, NY 11801-5040

Mailing address

495 S Broadway
Hicksville, NY 11801-5040
Phone (516) 396-0608

Other identifiers 1

IdentifierTypeStateIssuer
2177043OtherPK

Other names 1

  • HICKSVILLE PHARMACY Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190103001140 NY DME Supplier - Pharmacy 6507101094 Practice locations: Hicksville, NY
O20220428000201 NY Part B Supplier - Pharmacy 6507101094 Practice locations: Hicksville, 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
NSD Pharmacy Corp495 S Broadway, Hicksville, NY 11801-5040(516) 396-0608 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 14, 2022

National Provider Directory

National Provider Directory

Locations

495 S Broadway
Ste 16
Hicksville, NY 11801
Phone (516) 396-0608

495 S Broadway
Hicksville, NY 11801
Phone (516) 396-0608

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1346747656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015040",
            "telephone_number": "516-396-0608",
            "fax_number": "516-396-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015040",
            "telephone_number": "516-396-0608",
            "fax_number": "516-396-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSD PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "NAVJOT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "516-396-0608"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICKSVILLE PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.