Nacsip Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

029930 Issued in NY

Legal business name

NACSIP INC

Doing business as

Lake Mahopac Pharmacy & Surgical

Practice address

559 Route 6
Mahopac, NY 10541-4712

Phone

(845) 208-0424

Fax

(845) 208-0425

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Nagi WissaNPI 1407026024

Title

R.PH,Ceo

Phone

(845) 208-0424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Mahopac Pharmacy & Surgical Doing business as

Locations

Practitioners 1

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

• Nagi Wissa

  • Pharmacist
  • Mahopac, NY
  • NPI 1407026024
  NPD Authorized official

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1396073060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414712",
            "telephone_number": "845-208-0424",
            "fax_number": "845-208-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414712",
            "telephone_number": "845-208-0424",
            "fax_number": "845-208-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACSIP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "WISSA",
        "authorized_official_first_name": "NAGI",
        "authorized_official_title_or_position": "R.PH,CEO",
        "authorized_official_telephone_number": "845-208-0424"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3364116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mahopac Pharmacy & Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Morrissey
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• Danielle Moylan
• Carol Lyn Murphy, L.P.N.
• Concetta Musico
• Nonye Ifeoma Ndimele, LPN
• New York Aesthetics Consulting and Training
• New York Chiropractic Health Performance, P.C.
• Karl K NG, MD
• Lynn C Nicolais, RN

• Pharmacy in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.