Center Care Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CENTER CARE PHARMACY CORP

Practice address

819 Forest Ave
Staten Island, NY 10310-2410

Phone

(718) 737-9697

Fax

(917) 830-0314

NPI assigned

Jan 11, 2023

Last updated

Jun 30, 2023By 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

John Smith, PHARMD

Title

Owner

Phone

(718) 737-9697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nerli Carolina Guardado, PHARM.D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1306514203
  NPD
• Sanela Sali

  • Pharmacist
  • Staten Island, NY
  • NPI 1083465397
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1780398974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102410",
            "telephone_number": "718-737-9697",
            "fax_number": "917-830-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102410",
            "telephone_number": "718-737-9697",
            "fax_number": "917-830-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CARE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-737-9697",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Viloria Celis, M.D.
• John L Cella, LCSW
• Edward Celmer, MD
• Diane P Cenci, RN
• Centeno Physical Therapy PC
• Centers Adult Day Care LLC (Richmond Health Care Center Social Day Program)
• Central Pathology Service PC
• Roger Alejandro Cepeda, PA
• Talia Luz Cepeda
• Frank M Cerasuolo

• Pharmacy in Staten Island, NY
• Providers in Staten Island, 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 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.