M.M.J.J. Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

017707 Issued in NY

Legal business name

M.M.J.J. INC.

Practice address

64 Carleton Ave Ste B
Islip Terrace, NY 11752-1500

Phone

(631) 277-9515

Fax

(631) 277-7844

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mark C. GoldsteinNPI 1144544503

Title

President

Phone

(631) 277-9515

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TERRACE APOTHECARY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Charles Goldstein, RPH

  • Pharmacist
  • Islip Terrace, NY
  • NPI 1144544503
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881720985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CARLETON AVE STE B",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521500",
            "telephone_number": "631-277-9515",
            "fax_number": "631-277-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CARLETON AVE STE B",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521500",
            "telephone_number": "631-277-9515",
            "fax_number": "631-277-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.M.J.J. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-277-9515"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00759866",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3376034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERRACE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Elizabeth Lorenz, LPN
• Nicole Theresa Lorthioir, MS OTR/L
• Suzanne Y Lovaglio, LPN
• Samantha Luongo, MS
• Corinne Lorraine Lydon, RN
• Vikki Lynne Macintosh, LPN
• Maeve Catherine Mackenna, M.S., CCC-SLP, TSSLD
• Ingemar Manarin Mapanao, PT
• Julee Ann Marazzito
• Margaret M. Magee, R.N., L.M.T., PLLC

• Community/Retail Pharmacy in Islip Terrace, NY
• Providers in Islip Terrace, 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 22, 2020; 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.