Lighthouse Pharmacy
LBN: Caljeb Pharmacy Corp
Lighthouse Pharmacy is an health care organization with primary practice located at 747 Montauk Highway , Patchogue NY 11772. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Caljeb Pharmacy Corp can be contacted via phone (631) 654-2444, or through Fawcett, Patrick via phone (631) 654-2444.
Contact Information
Primary practice address
747 Montauk Highway
Patchogue NY 11772
Phone: (631) 654-2444
Fax: (631) 654-1837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 016177 | New York |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1275536864 |
|---|---|
| LBN Legal business name | Caljeb Pharmacy Corp |
| DBA Doing business as | Lighthouse Pharmacy |
| Authorized official | Fawcett, Patrick MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 24th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275536864 | NPPES |
| New York | MEDICAID | 00628717 | |
| New York | Other | 2060288 |
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