Active NPI
Lucia's Pharmacy Inc.
- Community/Retail Pharmacy
- Staten Island, NY
National Provider Identifier
1790320752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LUCIA'S PHARMACY INC.
- Practice address
- 2090 Hylan Blvd
Staten Island, NY 10306-3423 - Phone
- (917) 830-0600
- Fax
- (917) 830-0126
- NPI assigned
- Nov 14, 2019
- Last updated
- Jun 10, 2024
- 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
- Michael John Elkhoury
- Title
- President
- Phone
- (917) 830-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2090 Hylan Blvd
Staten Island, NY 10306-3423
Mailing address
2090 Hylan Blvd
Staten Island, NY 10306-3423
Phone (917) 830-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200320002711 | NY | DME Supplier - Pharmacy | 6800224049 | Practice locations: Staten Island, NY |
| O20210210000553 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800224049 | Practice locations: Staten Island, NY |
| O20260430002381 | NY | Part B Supplier - Pharmacy | 6800224049 | Practice locations: Staten Island, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lucia's Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Enteral Nutrients | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2090 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-0616
Practitioners & affiliated clinicians
Practitioners 37
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.
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-
- Diagnostic Radiology Physician
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- NPI 1013917301
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- Neuroradiology Physician
- New York, NY
- NPI 1427107473
-
- Diagnostic Radiology Physician
- Lynbrook, NY
- NPI 1386634939
-
- Specialist
- Melville, NY
- NPI 1831148832
-
- Diagnostic Radiology Physician
- Rockville Centre, NY
- NPI 1629043039
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- Diagnostic Radiology Physician
- New York, NY
- NPI 1841226388
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- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1154426674
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- Diagnostic Radiology Physician
- West Nyack, NY
- NPI 1063490266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1790320752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063423",
"telephone_number": "917-830-0600",
"fax_number": "917-830-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063423",
"telephone_number": "917-830-0600",
"fax_number": "917-830-0126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIA'S PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-14",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "ELKHOURY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-830-0600"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Kimberly Lucchese, OTR/L
- Kristi Antionette Lucchesi
- Ninamarie Lucchini, M.S.ED.
- Richard Lucente Jr., DO
- Lucia Falcone Holistic Mental Health Counseling SPP (Holistic Mental Health)
- Nancy Ann Ludwig Watari, LMHC
- Robin Lynn Ludwig, PA
- Cheryl Lufrano, R.P.A.-C
- Christine Lugar, MS, CRNA
- Lugo Comprehensive PT Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.