Organization Active NPI

Pharmacy Operations of New York Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Grand Island, NY
National Provider Identifier
1780894287
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028502 Issued in NY
Legal business name
PHARMACY OPERATIONS OF NEW YORK INC
Doing business as
Medicine Shoppe
Practice address
2156 Grand Island Blvd
Grand Island, NY 14072-2194
Phone
(716) 773-3111
NPI assigned
May 23, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dena Ferman
Title
Third Party Plan Coordinator
Phone
(314) 993-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028502 NY Primary

Addresses

Primary practice location

2156 Grand Island Blvd
Grand Island, NY 14072-2194

Mailing address

1 Rider Trail Plaza Drive
Suite 300
Earth City, MO 63045-1313

Other identifiers 2

IdentifierTypeStateIssuer
02888975MedicaidNY
3354482OtherNYNCPDP #

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Shoppe2 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.

Locations

2156 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-3111

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780894287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDER TRAIL PLAZA DRIVE",
            "address_2": "SUITE 300",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722194",
            "telephone_number": "716-773-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OPERATIONS OF NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02888975",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3354482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.