Islandia Pharmacy LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028913 Issued in NY

Legal business name

ISLANDIA PHARMACY LTD

Doing business as

Islandia Pharmacy LTD

Practice address

333 S Broadway
Hicksville, NY 11801-5005

Phone

(516) 939-9800

Fax

(516) 939-9801

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Momtaz Hasan

Title

President

Phone

(516) 647-1582

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ISLANDIA PHARMACY LTD Doing business as

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1790952208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015005",
            "telephone_number": "516-939-9800",
            "fax_number": "516-939-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDIA PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MOMTAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-647-1582"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3357868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLANDIA PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hicksville, NY
• Providers in Hicksville, 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 May 14, 2008; 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.