Active NPI
Slater Pharmacy Inc
- Pharmacist
- Ronkonkoma, NY
National Provider Identifier
1770639072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042945
- Legal business name
- SLATER PHARMACY INC
- Practice address
- 407 Hawkins Ave
Ronkonkoma, NY 11779-4239 - Phone
- (631) 588-1590
- Fax
- (631) 981-5681
- NPI assigned
- Jan 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Neil Weinberg, RPH
- Title
- Pharmacy Manager
- Phone
- (631) 588-1590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042945 | NY | Primary |
Addresses
Primary practice location
407 Hawkins Ave
Ronkonkoma, NY 11779-4239
Mailing address
407 Hawkins Ave
Ronkonkoma, NY 11779-4239
Phone (631) 588-1590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00653250 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
407 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 588-1590
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ronkonkoma, NY
- NPI 1720531270
-
- Pharmacist
- Lake Ronkonkoma, NY
- NPI 1932422144
-
- Pharmacist
- Ronkonkoma, NY
- NPI 1679895908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770639072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 HAWKINS AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117794239",
"telephone_number": "631-588-1590",
"fax_number": "631-981-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 HAWKINS AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117794239",
"telephone_number": "631-588-1590",
"fax_number": "631-981-5681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLATER PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "631-588-1590",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "042945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00653250",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.