Cedarhurst Avenue Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CEDARHURST AVENUE PHARMACY

Practice address

123 Cedarhurst Ave
Cedarhurst, NY 11516-2128

Phone

(516) 569-7588

Fax

(516) 569-7570

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Sue Pepper

Title

Owner Pharmacist

Phone

(516) 569-7588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SPENCER INC Doing business as

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497815633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162128",
            "telephone_number": "516-569-7588",
            "fax_number": "516-569-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARHURST AVENUE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "516-569-7588"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "024196",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3304502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPENCER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rose Carpenzano, LCSW
• Jennifer Castillo, NP
• Cedarhurst Dental Office
• Cedarhurst Medical Associates
• Cedarhurst Medical PC
• Central Aid Pharmacy Inc
• Central Vision Care Optometry and Ophthalmic Dispensing PLLC

• Community/Retail Pharmacy in Cedarhurst, NY
• Providers in Cedarhurst, 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 Sep 11, 2025; 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.