Stony Brook Pharmacy
Organization Active NPI Community/Retail Pharmacy · Stony Brook, NY
NPI 1609804269 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1609804269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 018464 (NY)
- Legal business name
- STONY BROOK PHARMACY
- 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
- Organization subpart
- No
Authorized official
- Name
- Max Salvatore
- Title
- Owner
- Phone
- (631) 751-4477
Practitioners 1
-
William James Lemorocco, PHARMACIST
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 018464 | NY | Yes |
Addresses
Primary practice location
2500 Nesconset Hwy
Ste 3 a
Stony Brook, NY 11790-2555
Mailing address
2500 Nesconset Hwy
Ste 3 a
Stony Brook, NY 11790-2555
Phone (631) 751-4477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2063472 | Other | PK | |
| 00890780 | Medicaid | NY |
Other names
- MEDICAL PARK DRUG AND SURGICAL
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- 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
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- Stony Brook Radiologic Services PC
- Stony Brook Radiology, University Faculty Practice Corporation
All providers in Stony Brook, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.