NPIMap

Organization Active NPI

Episcopal Health Services Inc

Doing business as St. John's Pharmacy

  • Community/Retail Pharmacy
  • Far Rockaway, NY
National Provider Identifier
1689151201
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EPISCOPAL HEALTH SERVICES INC
Doing business as
St. John's Pharmacy
Practice address
327 Beach 19TH St
Lobby
Far Rockaway, NY 11691-4423
Phone
(833) 789-5301
Fax
(718) 362-1242
NPI assigned
Jul 26, 2018
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Joel Wright
Title
President Pharmacy Services
Phone
(806) 242-7782

Specialties & licenses 1

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

Addresses

Primary practice location

327 Beach 19TH St
Lobby
Far Rockaway, NY 11691-4423

Mailing address

320 S Polk St Ste 200
Amarillo, TX 79101-1436
Phone (806) 242-7782

Other identifiers 1

IdentifierTypeStateIssuer
05606331MedicaidNY

Other names 1

  • St. John's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190627003114 NY DME Supplier - Pharmacy 9931158334 Practice locations: Far Rockaway, NY
O20220930003067 NY Part B Supplier - Pharmacy 9931158334 Practice locations: Far Rockaway, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Episcopal Health Services Inc327 Beach 19TH St, Far Rockaway, NY 11691-4423(833) 789-5301 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
St Johns Epis -Smithtow8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

327 Beach 19th St
Lbby
Far Rockaway, NY 11691
Phone (833) 789-5301

495 Beach 20th St
Far Rockaway, NY 11691
Phone (347) 619-5950

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

10520 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 819-5448

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1689151201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S POLK ST STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011436",
            "telephone_number": "806-242-7782",
            "fax_number": "718-362-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "address_2": "LOBBY",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "833-789-5301",
            "fax_number": "718-362-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05606331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. John's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.