Sandlane Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025486 Issued in NY

Legal business name

SANDLANE PHARMACY CORP.

Doing business as

Nates pharmacy

Practice address

307 Sand LN
Staten Island, NY 10305-4500

Phone

(718) 556-3330

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Boris Natenzon, RPH

Title

Pres

Phone

(718) 556-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nates pharmacy Doing business as

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1609086115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102446",
            "telephone_number": "718-556-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054500",
            "telephone_number": "718-556-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDLANE PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-556-3330",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02317917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nates pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corisha S Sanders, LMSW
• Elena Sanders, M.D.
• Kristen P. Sanders, M.S., ED.
• Michelle Sanders, L.C.S.W
• Milan Singh Sandhu, BS
• David Sandler, D.D.S.
• Greg Sandler
• Svetlana Sandler, PT
• Rachel Sandowski, LMSW
• Denise M Sanfilippo, MD

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 Feb 2, 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.