Organization Active NPI

C.J.S. Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Merrick, NY
National Provider Identifier
1386828259
Registry record updated Nov 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
C.J.S. PHARMACY, INC.
Practice address
131 Merrick Avenue
Merrick, NY 11566-3147
Phone
(516) 378-0119
Fax
(516) 378-5210
NPI assigned
Dec 27, 2007
Organization subpart
Yes
Parent organization
C.J.S. PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2010

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

Authorized official

Name
Leo Levine
Title
Owner
Phone
(516) 378-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

131 Merrick Avenue
Merrick, NY 11566-3147

Mailing address

131 Merrick Ave
Merrick, NY 11566-3147
Phone (516) 378-0119

Other identifiers 1

IdentifierTypeStateIssuer
00378092MedicaidNY

Other names 1

  • Merrick Surgical Supply and Homecare Doing business as

National Provider Directory

National Provider Directory
Part of
CJS Pharmacy Inc

Locations

139 Merrick Ave
Merrick, NY 11566
Phone (516) 378-0119

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289001600000",
    "number": "1386828259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-378-0119",
            "fax_number": "516-378-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MERRICK AVENUE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-378-0119",
            "fax_number": "516-378-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.J.S. PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C.J.S. PHARMACY, INC.",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-11-06",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-378-0119"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00378092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrick Surgical Supply and Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; 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.