Active NPI
True North Health Pharmacy, Inc.
Doing business as Vivo Health Specialty Pharmacy
- Specialty Pharmacy
- Great Neck, NY
National Provider Identifier
1669854832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- TRUE NORTH HEALTH PHARMACY, INC.
- Doing business as
- Vivo Health Specialty Pharmacy
- Practice address
- 225 Community Dr Ste 100
Great Neck, NY 11021-5506 - Phone
- (844) 411-8486
- Fax
- (516) 465-5256
- NPI assigned
- Jun 24, 2015
- Organization subpart
- Yes
- Parent organization
- NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Drummond
- Title
- SVP, Chief Expense Officer
- Phone
- (844) 411-8486
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 033571 | NY | |
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
225 Community Dr Ste 100
Great Neck, NY 11021-5506
Mailing address
1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016
Phone (844) 411-8486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04633703 | Medicaid | NY |
Other names 1
- Vivo Health Specialty Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161216000969 | NY | DME Supplier - Pharmacy | 9234419979 | Practice locations: Great Neck, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Vivo Health Pharmacy at CFAM
- Specialty Pharmacy
- New Hyde Park, NY
- NPI 1730523549
9234419979
-
dba Vivo Health Pharmacy at Rego Park
- Community/Retail Pharmacy
- Rego Park, NY
- NPI 1851173892
9234419979
National Provider Directory
National Provider Directory- Part of
- North Shore Lij
Locations
410 Lakeville Rd
Ste 102
New Hyde Park, NY 11042
Phone (516) 352-2337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1669854832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE STE 118",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421016",
"telephone_number": "844-411-8486",
"fax_number": "516-465-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 COMMUNITY DR STE 100",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215506",
"telephone_number": "844-411-8486",
"fax_number": "516-465-5256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE NORTH HEALTH PHARMACY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM, INC.",
"enumeration_date": "2015-06-24",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "DRUMMOND",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "SVP, CHIEF EXPENSE OFFICER",
"authorized_official_telephone_number": "844-411-8486",
"authorized_official_name_prefix": "Mrs."
},
"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": "033571",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04633703",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vivo Health Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vivo Health Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.