NPIMap

Organization Active NPI

Jillscott Corp

  • Community/Retail Pharmacy
  • North Babylon, NY
National Provider Identifier
1578514766
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15487 Issued in NY
Legal business name
JILLSCOTT CORP
Practice address
54 Deer Shore SQ
North Babylon, NY 11703-1207
Phone
(631) 667-2484
Fax
(631) 667-8887
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Frank Dellisanti, RPHNPI 1326090820
Title
Owner
Phone
(631) 667-2484

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
Community/Retail Pharmacy 3336C0003X 15487 NY Primary

Addresses

Primary practice location

54 Deer Shore SQ
North Babylon, NY 11703-1207

Mailing address

54 Deer Shore SQ
North Babylon, NY 11703-1207

Other identifiers 2

IdentifierTypeStateIssuer
3349809OtherOTHER ID NUMBER
00461629MedicaidNY

Other names 1

  • PARK CHEMISTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

54 Deer Shore Sq
North Babylon, NY 11703
Phone (631) 667-2484

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": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1578514766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 DEER SHORE SQ",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 DEER SHORE SQ",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031207",
            "telephone_number": "631-667-2484",
            "fax_number": "631-667-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLSCOTT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DELLISANTI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-667-2484",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "15487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3349809",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00461629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK CHEMISTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.