Organization Active NPI

Da Vinci'S Apothecary Compounding Pharmacy Corp

  • Pharmacist
  • East Rockaway, NY
National Provider Identifier
1811299555
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030385 Issued in NY
Legal business name
DA VINCI'S APOTHECARY COMPOUNDING PHARMACY CORP
Practice address
142 Main St
East Rockaway, NY 11518-1702
Phone
(516) 837-9777
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mrs. Mary Nogueira
Title
President
Phone
(516) 837-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 030385 NY Primary

Addresses

Primary practice location

142 Main St
East Rockaway, NY 11518-1702

Mailing address

142 Main St
East Rockaway, NY 11518-1702
Phone (516) 837-9777

National Provider Directory

National Provider Directory

Locations

142 Main St
East Rockaway, NY 11518
Phone (516) 837-9777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1811299555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MAIN ST",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181702",
            "telephone_number": "516-837-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MAIN ST",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181702",
            "telephone_number": "516-837-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA VINCI'S APOTHECARY COMPOUNDING PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "NOGUEIRA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-837-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.