NPIMap

Organization Active NPI

31St & 3Rd Pharmacy Inc

  • Specialty Pharmacy
  • Melville, NY
National Provider Identifier
1780134833
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
027550 Issued in NY
Legal business name
31ST & 3RD PHARMACY INC
Practice address
1860 Walt Whitman Rd
Suite 700
Melville, NY 11747-3282
Phone
(516) 822-6300
Fax
(516) 822-6333
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Al M Dossantos, RPHNPI 1467609289
Title
Founding Principal
Phone
(516) 822-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 027550 NY Primary

Addresses

Primary practice location

1860 Walt Whitman Rd
Suite 700
Melville, NY 11747-3282

Mailing address

1860 Walt Whitman Rd
Suite 700
Melville, NY 11747-3282
Phone (516) 822-6300

Other identifiers 1

IdentifierTypeStateIssuer
02700609MedicaidNY

Other names 1

  • PARAMOUNT SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
31St 3Rd Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1860 Walt Whitman Rd
Ste 700
Melville, NY 11747
Phone (516) 822-6300

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1780134833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WALT WHITMAN RD",
            "address_2": "SUITE 700",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473282",
            "telephone_number": "516-822-6300",
            "fax_number": "516-822-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WALT WHITMAN RD",
            "address_2": "SUITE 700",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473282",
            "telephone_number": "516-822-6300",
            "fax_number": "516-822-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "31ST & 3RD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "DOSSANTOS",
        "authorized_official_first_name": "AL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDING PRINCIPAL",
        "authorized_official_telephone_number": "516-822-6300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "027550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02700609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARAMOUNT SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.