Active NPI
Nyc Drug Store, Inc.
Doing business as Franklin Square Pharmacy & Surgical
- Community/Retail Pharmacy
- Franklin Square, NY
National Provider Identifier
1871823559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029788
- Legal business name
- NYC DRUG STORE, INC.
- Doing business as
- Franklin Square Pharmacy & Surgical
- Practice address
- 925 Hempstead Tpke
Franklin Square, NY 11010-3641 - Phone
- (718) 380-0999
- Fax
- (718) 969-4999
- NPI assigned
- Jan 2, 2010
- Last updated
- Aug 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mauro Steven Perna
- Title
- Supervising Pharmacist
- Phone
- (718) 380-0999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029788 | NY | Primary |
Addresses
Primary practice location
925 Hempstead Tpke
Franklin Square, NY 11010-3641
Mailing address
925 Hempstead Tpke
Franklin Square, NY 11010-3641
Phone (718) 380-0999
Other names 1
- FRANKLIN SQUARE PHARMACY & SURGICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930100412 | NY | DME Supplier - Pharmacy | 3072704204 | Practice locations: Franklin Square, NY |
| O20240701002220 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072704204 | Practice locations: Franklin Square, NY |
| O20251210000548 | NY | Part B Supplier - Pharmacy | 3072704204 | Practice locations: Franklin Square, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Franklin Square Pharmacy Surgical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Franklin Square, NY
- NPI 1497695209
Locations
15916 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 304-6454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1871823559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HEMPSTEAD TPKE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103641",
"telephone_number": "718-380-0999",
"fax_number": "718-969-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HEMPSTEAD TPKE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103641",
"telephone_number": "718-380-0999",
"fax_number": "718-969-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYC DRUG STORE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-02",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "PERNA",
"authorized_official_first_name": "MAURO",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "718-380-0999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FRANKLIN SQUARE PHARMACY & SURGICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.