Seaside Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00704400 Issued in NJ

Legal business name

SEASIDE PHARMACY

Practice address

410 South East Central Ave
Seaside Park, NJ 08752

Phone

(732) 250-6600

Fax

(732) 250-6601

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By 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. Kanakis Markakis, R.PH.

Title

Pharmacist

Phone

(732) 250-6600

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1942521448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SOUTH EAST CENTRAL AVE",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "08752",
            "telephone_number": "732-250-6600",
            "fax_number": "732-250-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SOUTH EAST CENTRAL AVE",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "08752",
            "telephone_number": "732-250-6600",
            "fax_number": "732-250-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MARKAKIS",
        "authorized_official_first_name": "KANAKIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "732-250-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00704400",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00704400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RS00704400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Eileen Belcuore
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• Jessica O'Gara -Mankowski, BA/MSW
• Kelly B Petrone, OT
• Edward Charles Shadiack Jr., D.O.
• Kenn Treidel, RP
• Tri-Boro First Aid Squad Inc.

• Community/Retail Pharmacy in Seaside Park, NJ
• Providers in Seaside Park, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.