Organization Active NPI

D&S Pharmacy LLC

  • Community/Retail Pharmacy
  • Middle Village, NY
National Provider Identifier
1679044648
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
D&S PHARMACY LLC
Practice address
6471 Dry Harbor Rd
Middle Village, NY 11379-2392
Phone
(718) 685-2129
Fax
(718) 685-2866
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Leana S KandovNPI 1417116021
Title
Member
Phone
(718) 685-2129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Point of Service 305S00000X
Community/Retail Pharmacy 3336C0003X Primary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

6471 Dry Harbor Rd
Middle Village, NY 11379-2392

Mailing address

6471 Dry Harbor Rd
Middle Village, NY 11379-2392
Phone (718) 685-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025000727 NY Part B Supplier - Pharmacy 5991039984 Practice locations: Middle Village, NY

National Provider Directory

National Provider Directory

Locations

6471 Dry Harbor Rd
Middle Vlg, NY 11379
Phone (646) 750-4489

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1679044648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792392",
            "telephone_number": "718-685-2129",
            "fax_number": "718-685-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6471 DRY HARBOR RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792392",
            "telephone_number": "718-685-2129",
            "fax_number": "718-685-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KANDOV",
        "authorized_official_first_name": "LEANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-685-2129"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.

Verify at the official NPI Registry.