Long Island Jewish Medical Center at Home Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035780 Issued in NY

Legal business name

LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC

Practice address

225 Community Dr Ste 140
Great Neck, NY 11021-5506

Phone

(833) 868-8486

Fax

(516) 266-5332

NPI assigned

Dec 27, 2017

Last updated

Feb 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Drummond

Title

SVP, Cheief Expense Officer

Phone

(833) 868-8486

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vivo Health Pharmacy at Home Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Long Island Jewish Medical Center at Home Pharmacy Inc

  dba VIVOHealth Pharmacy Now

  • Community/Retail Pharmacy
  • Melville, NY
  • NPI 1366338469

  2769736495

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Long Island Jewish Medical Center at Home Pharmacy Inc

  dba VIVOHealth Pharmacy Now

  • Community/Retail Pharmacy
  • Melville, NY
  • NPI 1366338469

  O20230512000476

  Same enrollment

These 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

Tax ID family

Long Island Jewish Medical Center at Home 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.

• Long Island Jewish Medical Center at Home Pharmacy Inc

  dba VIVOHealth Pharmacy Now

  • Community/Retail Pharmacy
  • Melville, NY
  • NPI 1366338469
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Long Island Jewish Medical Center at Home Pharmacy Inc

  dba VIVOHealth Pharmacy Now

  • Community/Retail Pharmacy
  • Melville, NY
  • NPI 1366338469
  NPPES parent name

Practitioners 8

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.

• Numra Ahmed

  • Pharmacist
  • Great Neck, NY
  • NPI 1083483564
  NPD
• Talha Aseem Akhtar, PHARM.D.

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1447698741
  NPD
• Rahida Akther

  • Pharmacist
  • Great Neck, NY
  • NPI 1013728971
  NPD
• Sara D'Anna

  • Pharmacist
  • Levittown, NY
  • NPI 1902185754
  NPD
• Edward German, PHARMD

  • Pharmacist
  • New York, NY
  • NPI 1508007253
  NPD
• Ashlie Lee, PHARM D.

  • Pharmacist
  • Great Neck, NY
  • NPI 1609441666
  NPD
• Scott A. Jacobson, RPH

  • Pharmacist
  • Mechanicsburg, PA
  • NPI 1700118908
  NPD
• Sabeena Valentin, PHARMACIST

  • Pharmacist
  • Manhasset, NY
  • NPI 1992668966
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1851807929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 118",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "833-868-8486",
            "fax_number": "516-266-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR STE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215506",
            "telephone_number": "833-868-8486",
            "fax_number": "516-266-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SVP, CHEIEF EXPENSE OFFICER",
        "authorized_official_telephone_number": "833-868-8486"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Health Pharmacy at Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Retail Pharmacy in Great Neck, NY
• Providers in Great Neck, 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 Feb 13, 2025; 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.

Verify at the official NPI Registry.