Target Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

0541491 Issued in NY

Legal business name

TARGET PHARMACY

Practice address

2900 Veterans Rd W
Staten Island, NY 10309-2502

Phone

(718) 701-6206

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jill Edelstein, PHARM. D

Title

Supervising Pharmacist

Phone

(718) 701-6206

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1881922318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 VETERANS RD W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092502",
            "telephone_number": "718-701-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS RD W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092502",
            "telephone_number": "718-701-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-701-6206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0541491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralph Tarantino, DMD
• Nicole Rodriguez Taranto, FNP
• Paul M Tarantola, DDS
• Vincent P Tarantola, MD
• Targee Street Internal Medicine Group
• Target Physical Therapy PC
• Jeanmarie Tari, NP
• Tarkhanov Medical P.C.
• Nikolay Tarkhanov, M.D.
• Margarita Tarkhanova, LMSW

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.