NPIMap

Organization Active NPI

St. Charles Hospital and Rehabilitation Center Pharmacy

  • Community/Retail Pharmacy
  • Centereach, NY
National Provider Identifier
1861270928
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST. CHARLES HOSPITAL AND REHABILITATION CENTER PHARMACY
Practice address
2112 Middle Country Rd # P100
Centereach, NY 11720-3519
Phone
(631) 468-6910
NPI assigned
Sep 20, 2023
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Nasser N SaadNPI 1851617054
Title
VP Pharmacy
Phone
(646) 441-8755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2112 Middle Country Rd # P100
Centereach, NY 11720-3519

Mailing address

2112 Middle Country Rd # P100
Centereach, NY 11720-3519
Phone (631) 468-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200203001573 NY Part B Supplier - Pharmacy 5597191973 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centereach, NY; West Islip, NY; Smithtown, NY; Rockville Centre, NY; Port Jefferson, NY; Hauppauge, NY; Bethpage, NY
O20241030001070 NY DME Supplier - Pharmacy 5597191973 Practice locations: Centereach, NY

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1861270928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 MIDDLE COUNTRY RD # P100",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203519",
            "telephone_number": "631-468-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 MIDDLE COUNTRY RD # P100",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203519",
            "telephone_number": "631-468-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HOSPITAL AND REHABILITATION CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "646-441-8755"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.