Organization Active NPI

Charlie'S Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Seaford, NY
National Provider Identifier
1497857114
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023400 Issued in NY
Legal business name
CHARLIE'S FAMILY PHARMACY INC
Practice address
3931 Merrick Rd
Seaford, NY 11783-2823
Phone
(516) 783-7979
Fax
(516) 783-6261
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Charles LaquidaraNPI 1336462480
Title
Owner/Pharmacist
Phone
(516) 783-7979

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 023400 NY Primary

Addresses

Primary practice location

3931 Merrick Rd
Seaford, NY 11783-2823

Mailing address

3931 Merrick Rd
Seaford, NY 11783-2823
Phone (516) 783-7979

Other identifiers 1

IdentifierTypeStateIssuer
01766238MedicaidNY

National Provider Directory

National Provider Directory

Locations

3931 Merrick Rd
Seaford, NY 11783
Phone (516) 783-7979

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1497857114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832823",
            "telephone_number": "516-783-7979",
            "fax_number": "516-783-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832823",
            "telephone_number": "516-783-7979",
            "fax_number": "516-783-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE'S FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "LAQUIDARA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "516-783-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.