Barkers Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

006613 Issued in NY

Legal business name

BARKERS PHARMACY INC.

Practice address

195 Love Lane
Mattituck, NY 11952-0989

Phone

(631) 298-8666

Fax

(631) 298-5616

NPI assigned

Feb 9, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Demetrios Michaelides

Title

Owner Supervising Pharmacist

Phone

(631) 298-8666

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740321967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "address_2": "195 LOVE LANE",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520989",
            "telephone_number": "631-298-8666",
            "fax_number": "631-298-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LOVE LANE",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520989",
            "telephone_number": "631-298-8666",
            "fax_number": "631-298-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARKERS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MICHAELIDES",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "OWNER SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-298-8666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "006613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00623818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3335862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Cecile Angelo, MSW ,LCSW-R
• Antoinette Plocek Notaro MD PC
• Pamela Ann Babcock, LCSW
• Laura Baker, MSW
• Debra Kim Bales, M.A., C.C.C., SLP
• Barths of Mattituck Inc (Barth's Pharmacy)
• Andrea Basile
• Nicole Marie Battaglia, LCSW
• Phyllis Beck, LPN
• Terry Becker

• Pharmacy in Mattituck, NY
• Providers in Mattituck, NY by specialty
• Pharmacy in New York

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