Active NPI
Tompkinsville Pharmacy Inc
- Pharmacist
- Staten Island, NY
National Provider Identifier
1801945282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037479
- Legal business name
- TOMPKINSVILLE PHARMACY INC
- Practice address
- 45 Victory Blvd
Staten Island, NY 10301 - Phone
- (718) 727-0430
- Fax
- (718) 727-0667
- NPI assigned
- Jan 9, 2007
- 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
- Mr. Esar Gangadin, PHARMACIST
- Title
- President Pharmacist
- Phone
- (718) 727-0430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 037479 | NY | Primary |
Addresses
Primary practice location
45 Victory Blvd
Staten Island, NY 10301
Mailing address
45 Victory Blvd
Staten Island, NY 10301
Phone (718) 727-0430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02325464 | Medicaid | NY | |
| 3321560 | Other | NABP |
Other names 1
- Ligett Rexall Drugs
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801945282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-727-0430",
"fax_number": "718-727-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-727-0430",
"fax_number": "718-727-0667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMPKINSVILLE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GANGADIN",
"authorized_official_first_name": "ESAR",
"authorized_official_title_or_position": "PRESIDENT PHARMACIST",
"authorized_official_telephone_number": "718-727-0430",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "037479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02325464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3321560",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ligett Rexall Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.