Henry Wise Mayo III, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

031832 Issued in NY

Practice address

750 Park PL
Chem RX
Long Beach, NY 11561-2110

Phone

(516) 536-0800

NPI assigned

Jul 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BJK Inc

  • Long Term Care Pharmacy
  • Long Beach, NY
  • NPI 1508971540
  NPD (past)

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215820800000",
    "number": "1487818092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RIVERSIDE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722719",
            "telephone_number": "516-536-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PARK PL",
            "address_2": "CHEM RX",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612110",
            "telephone_number": "516-536-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "HENRY",
        "middle_name": "WISE",
        "name_suffix": "III",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Massimo, LCSW
• Stephanie Marie Mattondo, M.S., OTR/L
• Eva Anne Matuszak, M.S.
• Mitchell Bryan Matza, RPH
• Paul Robert Mauro, LCSW, CASAC
• Deborah Ellen Mazzola
• Fiona McAuliffe, LPN
• Tyler McClean
• Olivia Agnes McColgan, PA-C
• Kerri McConnon

• Pharmacist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; 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.