National Speciality Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029156 Issued in NY

Legal business name

NATIONAL SPECIALITY PHARMACY LLC

Doing business as

Pen Mill Pharmacy

Practice address

1336 Peninsula Blvd
Hewlett, NY 11557-1226

Phone

(516) 791-6700

Fax

(516) 791-8324

NPI assigned

Nov 21, 2008

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nino Carnovale

Title

Owner

Phone

(516) 791-6700

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pen Mill Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1528213246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 PENINSULA BLVD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571226",
            "telephone_number": "516-791-6700",
            "fax_number": "516-791-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 PENINSULA BLVD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571226",
            "telephone_number": "516-791-6700",
            "fax_number": "516-791-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SPECIALITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "CARNOVALE",
        "authorized_official_first_name": "NINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-791-6700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029156",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3360726",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03047174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pen Mill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hewlett, NY
• Providers in Hewlett, 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 Jan 17, 2012; 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.