Bellmore Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026500 Issued in NY

Legal business name

BELLMORE PHARMACY INC

Practice address

111 Bedford Ave
Bellmore, NY 11710-3526

Phone

(516) 221-4022

Fax

(516) 221-4029

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Saurabh Sheth, RPHNPI 1114922796

Title

Owner/RPH

Phone

(516) 221-4022

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• KEEZAC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Saurabh H Sheth, RPH

  • Pharmacist
  • Bellmore, NY
  • NPI 1114922796
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1962586099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103526",
            "telephone_number": "516-221-4022",
            "fax_number": "516-221-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103526",
            "telephone_number": "516-221-4022",
            "fax_number": "516-221-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLMORE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "516-221-4022",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026500",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066948",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02498199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEEZAC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEEZAC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellmore Merrick Medical
• Bellmore Merrick Medical
• Bellmore Merrick Medical PC
• Bellmore Merrick Medical PC
• Bellmore Pharmacy Inc
• Bellmore Podiatry PC
• Bellmore RX Inc
• Bellmore Ufsd
• Bellmore Union Free School District
• Bellmore Village Chiropractic Wellness PC

• All providers in Bellmore, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.