Stony Brook Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

018464 Issued in NY

Legal business name

STONY BROOK PHARMACY

Doing business as

Medical Park Drug and Surgical

Practice address

2500 Nesconset Hwy
Ste 3 a
Stony Brook, NY 11790-2555

Phone

(631) 751-4477

Fax

(631) 751-4962

NPI assigned

Jun 30, 2006

Last updated

Oct 28, 2014By 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

Max Salvatore

Title

Owner

Phone

(631) 751-4477

Specialties & licenses 2

Addresses

Other names 1

• MEDICAL PARK DRUG AND SURGICAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William James Lemorocco, PHARMACIST

  • Pharmacist
  • Stony Brook, NY
  • NPI 1932214673
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1609804269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "STE 3 A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-4477",
            "fax_number": "631-751-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "STE 3 A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-4477",
            "fax_number": "631-751-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SALVATORE",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-751-4477"
    },
    "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": "018464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK DRUG AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stony Brook Ophthalmology, University Faculty Practice Corporation
• Stony Brook Opticians Inc (Wiggs Opricians)
• Stony Brook Oral and Facial Surgery PC
• Stony Brook Orthopaedic Associates, University Faculty Practice Corpor
• Stony Brook Pathologists, University Faculty Practice Corporation
• Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp
• Stony Brook Psychiatric Associates, University Faculty Practice Corpor
• Stony Brook Radiation Oncology, University Faculty Practice Corporatio
• Stony Brook Radiologic Services PC
• Stony Brook Radiology, University Faculty Practice Corporation

• Community/Retail Pharmacy in Stony Brook, NY
• Providers in Stony Brook, 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 Oct 28, 2014; 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.