Acariahealth Pharmacy 12 Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ACARIAHEALTH PHARMACY 12 INC

Practice address

5 Skyline Dr Ste 240
Hawthorne, NY 10532-2166

Phone

(800) 511-5144

Fax

(877) 541-1503

NPI assigned

Oct 30, 2019

Organization subpart

No

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

Authorized official

Name

Stephen Jensen

Title

President

Phone

(800) 511-5144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1659915965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 SOUTHPARK CIR STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199057",
            "telephone_number": "855-422-2742",
            "fax_number": "877-801-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SKYLINE DR STE 240",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322166",
            "telephone_number": "800-511-5144",
            "fax_number": "877-541-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACARIAHEALTH PHARMACY 12 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-511-5144"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giorgianna Abbondola, M.S.ED.
• Majida Abdul Gaffar, M.D.
• Suhaylah Abdullah, RN, FNP
• Abix Transportation Corp
• Trisha Absalom-Graham
• Acariahealth Pharmacy 12 Inc
• Access Therapeutics, Inc.
• Gifty Adjei-Dugbatey, FNP
• Arlene G Adler, PHD
• Stephen Adler, MD

• All providers in Hawthorne, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.