Organization Active NPI

Sound Shore Pharmacy, Inc

  • Pharmacist
  • Mount Vernon, NY
National Provider Identifier
1851372114
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027010 Issued in NY
Legal business name
SOUND SHORE PHARMACY, INC
Practice address
12 N 7TH Ave
Out-Patient Pharmacy
Mount Vernon, NY 10550-2026
Phone
(914) 664-8000
Fax
(914) 664-0457
NPI assigned
Nov 11, 2005
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
Mrs. Thomas Magaldi, RPH
Title
Pharmacy Administrator
Phone
(914) 365-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 027010 NY Primary

Addresses

Primary practice location

12 N 7TH Ave
Out-Patient Pharmacy
Mount Vernon, NY 10550-2026

Mailing address

12 N 7TH Ave
Out-Patient Pharmacy
Mount Vernon, NY 10550-2026
Phone (914) 371-1167

Other identifiers 2

IdentifierTypeStateIssuer
02673045MedicaidNY
027010OtherNYLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Sound Shore Pharmacy Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851372114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "address_2": "OUT-PATIENT PHARMACY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-371-1167",
            "fax_number": "914-664-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "address_2": "OUT-PATIENT PHARMACY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-664-8000",
            "fax_number": "914-664-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SHORE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAGALDI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACY ADMINISTRATOR",
        "authorized_official_telephone_number": "914-365-3975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673045",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "027010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, 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.