Health Mart Pharmacy
LBN: The Medicine Store Inc
Health Mart Pharmacy is an health care organization with primary practice located at 5 Candlewood Rd , Bay Shore NY 11706-2351. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Medicine Store Inc can be contacted via phone (631) 300-4670, or through Pavlou, Demetris via phone (631) 300-4670.
Contact Information
Primary practice address
5 Candlewood Rd
Bay Shore NY 11706-2351
Phone: (631) 300-4670
Fax: (631) 300-4673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 028674 | New York |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1780866509 |
|---|---|
| LBN Legal business name | The Medicine Store Inc |
| DBA Doing business as | Health Mart Pharmacy |
| Authorized official | Pavlou, Demetris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Feb 27th, 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 | 1780866509 | NPPES |
| Other | 2069992 | PK | |
| MEDICAID | 2936345 | PK |
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