Shore Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020657 Issued in NY

Legal business name

SHORE DRUGS INC.

Doing business as

Shore Drug

Practice address

30 E Main St
Bay Shore, NY 11706-8301

Phone

(631) 665-3000

Fax

(631) 206-1246

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Larry Leon, RPHNPI 1023106465

Title

Pres

Phone

(631) 665-3000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SHORE DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Leon, RPH

  • Pharmacist
  • Bay Shore, NY
  • NPI 1023106465
  NPD (past) Authorized official
• Kenneth Violetto, PHARM.D.

  • Pharmacist
  • Bay Shore, NY
  • NPI 1629119680
  NPD
• Seymour Kirshenbaum

  • Pharmacist
  • Bay Shore, NY
  • NPI 1811219009
  NPD (past)
• Laura L Laieta, RPH

  • Pharmacist
  • Bay Shore, NY
  • NPI 1346563491
  NPD (past)
• Ann-Marie Gilia Matei

  • Pharmacist
  • Bay Shore, NY
  • NPI 1760704985
  NPD (past)
• Eftihia S Zannikos, RPH

  • Pharmacist
  • Bay Shore, NY
  • NPI 1548839657
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1659437531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-665-3000",
            "fax_number": "631-206-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-665-3000",
            "fax_number": "631-206-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "631-665-3000",
        "authorized_official_credential": "RPH"
    },
    "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": "020657",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01186878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHORE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yueyue Shen
• Dorothy Shi
• Maan Muhammed Ali Shikara, M.D.
• Kevin Shim, DPM
• Shinelle K Ramkissoon LCSW P.C.
• Shore OB GYN, P.C.
• Alexander Shukis, M.D.
• Lynsey Taylor Shultz, OTR
• Lukas Shutler
• Janet Shy, LMSW

• Community/Retail Pharmacy in Bay Shore, NY
• Providers in Bay Shore, 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 Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.