Hylan Medicine Cabinet Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19429 Issued in NY

Legal business name

HYLAN MEDICINE CABINET INC

Practice address

1988 Hylan Blvd
Staten Island, NY 10306-3526

Phone

(718) 667-4300

Fax

(718) 980-2636

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Omar MohamedNPI 1306565080

Title

Owner

Phone

(718) 667-4300

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 5

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

• Omar Mohamed, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1306565080
  NPD (past) Authorized official
• John Robert Candela

  • Pharmacist
  • Staten Island, NY
  • NPI 1912036849
  NPD (past)
• Bonnie Celeste Crea

  • Pharmacy Technician
  • Staten Island, NY
  • NPI 1124157060
  NPD (past)
• Ahmad Elromahi

  • Pharmacist
  • Staten Island, NY
  • NPI 1093680274
  NPD (past)
• Amanda Fallah

  • Pharmacist
  • Staten Island, NY
  • NPI 1588530935
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1780607150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063526",
            "telephone_number": "718-667-4300",
            "fax_number": "718-980-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063526",
            "telephone_number": "718-667-4300",
            "fax_number": "718-980-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLAN MEDICINE CABINET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-667-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "19429",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "19429",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01024428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine Hyansou
• Hylan Care Pharma Corp (Hylan Care Pharmacy)
• Hylan Dentists P.C.
• Hylan Med Cabinet LTC LLC
• Hylan Medicine Cabinet Inc (Hylan Medicine Cabinet)
• Deloris Hynes
• Jaimee Christine Hynes, D.O.
• Laura Hynes, LMSW
• Eugene Hyun, MD
• I a Irisas LLC

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.