Mineola Family Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031397 Issued in NY

Legal business name

MINEOLA FAMILY PHARMACY INC.

Practice address

182 2ND St
Mineola, NY 11501-4021

Phone

(516) 427-5573

Fax

(516) 427-5574

NPI assigned

Jul 27, 2012

Last updated

Feb 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Manuel NoronaNPI 1932422417

Title

Owner/Pharmacist

Phone

(516) 427-5573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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.

• Manuel Norona, RPH

  • Pharmacist
  • Mineola, NY
  • NPI 1932422417
  NPD Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1912253956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 2ND ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014021",
            "telephone_number": "516-427-5573",
            "fax_number": "516-427-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 2ND ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014021",
            "telephone_number": "516-427-5573",
            "fax_number": "516-427-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA FAMILY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "NORONA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "516-427-5573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyeonghwan Min, PT
• Mineola Care Pharmacy Inc
• Mineola Clinical Laboratory, LLC
• Mineola Ear, Nose & Throat-Head & Neck Associates
• Mineola Eye Center Inc (20/20 Eye Care)
• Mineola Foot Care, PC
• Mineola Interventional Pain Management PLLC
• Mineola Medical Laboratory LLC
• Mineola Optical Boutique Inc
• Mineola Pediatrics P.C.

• Community/Retail Pharmacy in Mineola, NY
• Providers in Mineola, 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 Feb 6, 2014; 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.