North Shore University Hospital

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029422 Issued in NY

Legal business name

NORTH SHORE UNIVERSITY HOSPITAL

Doing business as

Vivo Health Pharmacy at Manhasset

Practice address

300 Community Dr
Manhasset, NY 11030-3816

Phone

(516) 562-8486

Fax

(516) 562-8329

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Drummond

Title

SVP, Chief Expense Officer

Phone

(833) 674-8486

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Vivo Health Pharmacy at Manhasset Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570

  5890609929

  Same PAC ID
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471

  5890609929

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Shore Long Island Jewish Healthcare

  dba Northwell Healthcare Inc

  • Cardiovascular Disease Physician
  • Westbury, NY
  • NPI 1215019500

  Member Of

  NPD member

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1467695023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "833-674-8486",
            "fax_number": "516-562-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-8486",
            "fax_number": "516-562-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SVP, CHIEF EXPENSE OFFICER",
        "authorized_official_telephone_number": "833-674-8486",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "029422",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3313980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Health Pharmacy at Manhasset",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vivo Health Pharmacy at Manhasset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Shore University Hospital (Vivo Health Pharmacy at Manhasset)
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital
• North Shore University Hospital

• Community/Retail Pharmacy in Manhasset, NY
• Providers in Manhasset, 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 Feb 12, 2025; 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.