Spages Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029895 Issued in NY

Legal business name

SPAGES PHARMACY INC

Practice address

471 Lake Ave
Saint James, NY 11780-2209

Phone

(631) 584-6460

Fax

(631) 584-3478

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Sambasiva Venigalla, RPH

Title

President

Phone

(631) 584-6460

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Spages Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 5

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

• Srikanth Venigalla, PHARMD

  • Pharmacist
  • Saint James, NY
  • NPI 1568885374
  NPD
• Ronald Goodstadt

  • Pharmacist
  • Saint James, NY
  • NPI 1861724213
  NPD (past)
• Edward A Zack, R.PH.

  • Pharmacist
  • Saint James, NY
  • NPI 1861724494
  NPD (past)
• Peter Zack, R.PH.

  • Pharmacist
  • Saint James, NY
  • NPI 1104153329
  NPD (past)
• Regina Zack, RPH

  • Pharmacist
  • Saint James, NY
  • NPI 1295057826
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1417015306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802209",
            "telephone_number": "631-584-6460",
            "fax_number": "631-584-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802209",
            "telephone_number": "631-584-6460",
            "fax_number": "631-584-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAGES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "SAMBASIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-584-6460",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029895",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03178498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spages Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spages Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Joseph Skrapits, DMD
• Gertrude Skrivanek
• Linda Frances Smith, MS, RN, FNP
• Soho Vascular Surgery PC
• Jennifer Lynn Sokolowski, LCSW
• Robin Lynn Spilko, M.A., CCC-SLP
• St James Fire District
• St James Medical Services PC
• St. James Dental Care, PLLC
• St. James Nursing Home

• Community/Retail Pharmacy in Saint James, NY
• Providers in Saint James, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.