S&a Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034672 Issued in NY

Legal business name

S&A DRUG STORE INC

Doing business as

ANKERSON PHARMACY

Practice address

11 S 4TH Ave
Mount Vernon, NY 10550-3104

Phone

(914) 668-9300

Fax

(914) 668-9311

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Peter Nguyen

Title

S.Pharmacist

Phone

(914) 668-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ANKERSON PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1861945396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S 4TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503104",
            "telephone_number": "914-668-9300",
            "fax_number": "914-668-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S 4TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503104",
            "telephone_number": "914-668-9300",
            "fax_number": "914-668-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&A DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "S.PHARMACIST",
        "authorized_official_telephone_number": "914-668-9300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANKERSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Alan Russell, D.C.
• Rosemarie Russell, FNP
• Warren Russell
• Angela Russo
• Rvohrx, LLC
• Patricia Anne Sadriyoun
• Drew Yates Sagar, NP
• Julie Salazar, RN
• Yolima Salazar, M.D.
• Tina Maria Salerno, CASAC-T

• Community/Retail Pharmacy in Mount Vernon, NY
• Providers in Mount Vernon, 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 Aug 2, 2016; 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.