Organization Active NPI

TLS Pharmacy Corp

  • Long Term Care Pharmacy
  • Hauppauge, NY
National Provider Identifier
1477586220
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TLS PHARMACY CORP
Practice address
26 Central Ave
Hauppauge, NY 11788-4734
Phone
(631) 303-3088
Fax
(631) 468-8612
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Bruce ScheinsonNPI 1114956513
Title
President
Phone
(631) 303-3088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 025545 NY
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

26 Central Ave
Hauppauge, NY 11788-4734

Mailing address

2155 Middle Country Rd
Centereach, NY 11720-3520

Other identifiers 2

IdentifierTypeStateIssuer
02323128MedicaidNY
3329768OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 2

  • CENTEREACH PHARMACY Doing business as
  • Centereach LTC Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930048054 NY DME Supplier - Pharmacy 6406061795 Practice locations: Hauppauge, NY
O20220516002388 NY Part B Supplier - Pharmacy 6406061795 Practice locations: Hauppauge, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Centereach Pharmacy26 Central Ave, Hauppauge, NY 11788-4734(631) 303-3088 Nebulizer Drugs Does not accept assignmentParticipating since Feb 4, 2003

National Provider Directory

National Provider Directory

Locations

2155 Middle Country Rd
Centereach, NY 11720
Phone (631) 588-8911

26 Central Ave
Hauppauge, NY 11788
Phone (631) 303-3088

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1477586220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CENTRAL AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884734",
            "telephone_number": "631-303-3088",
            "fax_number": "631-468-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "SCHEINSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-303-3088"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "025545",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323128",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3329768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTEREACH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centereach LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.