Park Place Chemists, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARK PLACE CHEMISTS, INC

Practice address

200 Pantigo PL Ste K
East Hampton, NY 11937-5923

Phone

(631) 324-6660

Fax

(631) 324-3515

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Miller, PHARM D

Title

Supervising Pharmacist

Phone

(631) 324-6660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1457562423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL STE K",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375923",
            "telephone_number": "631-324-6660",
            "fax_number": "631-324-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL STE K",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375923",
            "telephone_number": "631-324-6660",
            "fax_number": "631-324-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE CHEMISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-324-6660",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00541057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Thomas Olsen, R. PH
• Optyx LLC
• Christopher John Ott, DPT
• Jessica Lyn Ovanessian
• Karen Panish, HHC
• Sean Payne, PTA
• Melissa Pena, LMSW
• Matthew Pereira
• Perry Silver, DDS, LLC
• Antony Perry, MD

• Community/Retail Pharmacy in East Hampton, NY
• Providers in East Hampton, 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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.