Fairview Pharmacy And Homecare Supply

LBN: Fairview Hill Realty Corp
Fairview Pharmacy And Homecare Supply is an health care organization with primary practice located at 4747 Nesconset Hwy Ste 10, Port Jefferson Station NY 11776-2872. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Fairview Hill Realty Corp can be contacted via phone (631) 474-7828, or through Nastro, Michael via phone (631) 474-7828.

Contact Information

Primary practice address
4747 Nesconset Hwy Ste 10 Port Jefferson Station NY 11776-2872
Phone: (631) 474-7828
Fax: (631) 474-7871
Website:
Map and Directions
Authorized official contact:
Name: Nastro, Michael
Phone: (631) 474-7828

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X 022326 New York

Profile Details

NPI number 1184797078
LBN Legal business name Fairview Hill Realty Corp
DBA Doing business as Fairview Pharmacy And Homecare Supply
Authorized official Nastro, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 9th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184797078 NPPES
Other 2061369 PK
MEDICAID 01548030 PK

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