Organization Active NPI

Asl Pharmacy Inc

  • Pharmacist
  • East Northport, NY
National Provider Identifier
1619038635
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17073 Issued in NY
Legal business name
ASL PHARMACY INC
Practice address
517 Larkfield Rd Ste a
East Northport, NY 11731-4208
Phone
(631) 266-3999
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mr. Kevin S McQuade
Title
R.PH.
Phone
(631) 266-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 17073 NY Primary

Addresses

Primary practice location

517 Larkfield Rd Ste a
East Northport, NY 11731-4208

Mailing address

517 Larkfield Rd Ste a
East Northport, NY 11731-4208

Other identifiers 1

IdentifierTypeStateIssuer
00637509MedicaidNY

Other names 1

  • town drug Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1619038635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LARKFIELD RD STE A",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LARKFIELD RD STE A",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314208",
            "telephone_number": "631-266-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MCQUADE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "631-266-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "17073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "town drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.