Organization Active NPI

Manhasset Park Drug Corp

  • Community/Retail Pharmacy
  • Manhasset, NY
National Provider Identifier
1679588289
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
023405 Issued in NY
Legal business name
MANHASSET PARK DRUG CORP
Practice address
290 Plandome Rd
Manhasset, NY 11030-2327
Phone
(516) 869-0101
Fax
(516) 869-6799
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Kevin Askari, RPH
Title
Owner
Phone
(516) 869-0101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 023405 NY Primary

Addresses

Primary practice location

290 Plandome Rd
Manhasset, NY 11030-2327

Mailing address

290 Plandome Rd
Manhasset, NY 11030-2327
Phone (516) 869-0101

Other identifiers 2

IdentifierTypeStateIssuer
01795413MedicaidNY
2059419OtherPK

Other names 1

  • MANHASSET PARK DRUG Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210820001465 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2961717707 Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

290 Plandome Rd
Plandome, NY 11030
Phone (516) 270-5410

Practitioners & affiliated clinicians

Practitioners 2

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1679588289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302327",
            "telephone_number": "516-869-0101",
            "fax_number": "516-869-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302327",
            "telephone_number": "516-869-0101",
            "fax_number": "516-869-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHASSET PARK DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "ASKARI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-869-0101",
        "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": "023405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01795413",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANHASSET PARK DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.