St George Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST GEORGE PHARMACY INC

Practice address

99 Stuyvesant PL
Staten Island, NY 10301-1917

Phone

(718) 447-0333

Fax

(718) 447-0398

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Omar Mohamed

Title

President

Phone

(718) 667-4300

Specialties & licenses 1

Addresses

Tax ID family

St George Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St George Pharmacy Inc

  • Pharmacist
  • Staten Island, NY
  • NPI 1336265396
  NPD tax ID

Locations

Practitioners 1

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

• Alphonse A Gentile Jr., RPH.

  • Pharmacist
  • Staten Island, NY
  • NPI 1285959759
  NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1770394397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011917",
            "telephone_number": "718-447-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011917",
            "telephone_number": "718-447-0333",
            "fax_number": "718-447-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-667-4300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sriskanda, CHT
• Saroj Srivastava
• St Dental
• St George Counseling Services LCSW PLLC
• St George Pharmacy Inc
• St Josephs Physical Therapy PC
• St Kyrollos Physical Therapy PC
• Margaret-Ann Valerie St Louis, RN
• St Marks Dental PC
• St Mary & Pope Kyrillos Corporation

• Long Term Care Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.