CXR Hospitality TR

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CXR HOSPITALITY TR

Doing business as

Shelter Island Pharmacy

Practice address

19 Grand Ave
Shelter Island Heights, NY 11965-2000

Phone

(631) 749-0445

Fax

(631) 479-0649

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael HershmanNPI 1740912203

Title

Ceo

Phone

(703) 609-0008

Specialties & licenses 1

Addresses

Other names 1

• Shelter Island Pharmacy 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.

• Michael Hershman

  • Community/Retail Pharmacy
  • Shelter Island Heights, NY
  • NPI 1740912203
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1982315123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W 57TH ST FL 30",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192701",
            "telephone_number": "212-715-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GRAND AVE",
            "city": "SHELTER ISLAND HEIGHTS",
            "state": "NY",
            "postal_code": "119652000",
            "telephone_number": "631-749-0445",
            "fax_number": "631-479-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CXR HOSPITALITY TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "HERSHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-609-0008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelter Island Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Noelle Franke, PHARMD
• Suzanne Fujita, RPH
• Michael Hershman
• Charles L. Ihlenfeld II, M.D.
• Scott Ofrias & Scott Inc

• Pharmacy in Shelter Island Heights, NY
• Providers in Shelter Island Heights, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.