Organization Active NPI

Prescription Plus at Silver Lake LLC

  • Community/Retail Pharmacy
  • West Harrison, NY
National Provider Identifier
1689080939
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032705 Issued in NY
Legal business name
PRESCRIPTION PLUS AT SILVER LAKE LLC
Doing business as
Prescription Plus At Silver Lake LLC
Practice address
23 Taylor SQ
West Harrison, NY 10604-1908
Phone
(914) 949-3800
Fax
(914) 949-3840
NPI assigned
Jul 8, 2014
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Ms. Maria Anella
Title
Owner
Phone
(914) 949-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 032705 NY Primary

Addresses

Primary practice location

23 Taylor SQ
West Harrison, NY 10604-1908

Mailing address

23 Taylor SQ
West Harrison, NY 10604-1908
Phone (914) 949-3800

Other identifiers 1

IdentifierTypeStateIssuer
Y92488NEMedicaidNY

Other names 1

  • Prescription Plus At Silver Lake LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150505000149 NY Part B Supplier - Pharmacy 1658690193 Practice locations: West Harrison, NY

National Provider Directory

National Provider Directory

Locations

23 Taylor Sq
West Harrison, NY 10604
Phone (914) 949-3800

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1689080939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TAYLOR SQ",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106041908",
            "telephone_number": "914-949-3800",
            "fax_number": "914-949-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TAYLOR SQ",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106041908",
            "telephone_number": "914-949-3800",
            "fax_number": "914-949-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION PLUS AT SILVER LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ANELLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-949-3800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y92488NE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Plus At Silver Lake LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.