Scarsdale Spencer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10681 Issued in NY

Legal business name

SCARSDALE SPENCER PHARMACY INC

Practice address

23 Spencer PL
Scarsdale, NY 10583-4110

Phone

(914) 723-2808

Fax

(914) 723-2781

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

David Ferreira, RPHNPI 1255653341

Title

Owner

Phone

(914) 723-2808

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SCARSDALE-SPENCER Pharmacy Doing business as

Practitioners 2

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

• David John Ferreira, RPH

  • Pharmacist
  • Scarsdale, NY
  • NPI 1255653341
  NPD (past) Authorized official
• Joseph Andrew Damin, R.PH.

  • Pharmacist
  • Scarsdale, NY
  • NPI 1770805798
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1720156961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834110",
            "telephone_number": "914-723-2808",
            "fax_number": "914-723-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE SPENCER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "FERREIRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-723-2808",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "10681",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3312547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCARSDALE-SPENCER Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.