Organization Active NPI

Simon Pharmacy LLC

  • Community/Retail Pharmacy
  • Rockville Centre, NY
National Provider Identifier
1578851531
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SIMON PHARMACY LLC
Practice address
124 N Long Beach Rd
Rockville Centre, NY 11570-4415
Phone
(516) 764-3200
Fax
(516) 764-0403
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Daniel Marc Simon, PHARM D
Title
President
Phone
(516) 764-3200

Specialties & licenses 1

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

Addresses

Primary practice location

124 N Long Beach Rd
Rockville Centre, NY 11570-4415

Mailing address

124 N Long Beach Rd
Rockville Centre, NY 11570-4415
Phone (516) 764-3200

Other names 1

  • Davis Ethical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

124 N Long Beach Rd
Rockville Centre, NY 11570
Phone (516) 764-3200

Practitioners & affiliated clinicians

Practitioners 3

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1578851531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N LONG BEACH RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704415",
            "telephone_number": "516-764-3200",
            "fax_number": "516-764-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N LONG BEACH RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704415",
            "telephone_number": "516-764-3200",
            "fax_number": "516-764-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-764-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Ethical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.