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SAND LANE PHARMACY NPI 1063401651


NPI Information

NPI: 1063401651
Provider Name: SAND LANE PHARMACY

Doing Business As: YC PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
333 SAND LN
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 556-3330
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SAND LANE PHARMACY is a pharmacist in Staten Island, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. SAND LANE PHARMACY NPI is 1063401651. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yc Pharmacy.

The provider's business location address is:

333 SAND LN
STATEN ISLAND, NY
ZIP 10305-500
Phone: (718) 556-3330
Fax: (718) 556-1291

The provider's authorized official is Boris Natenzon .
The authorized official title is Vice President and has the following contact phone number (718) 556-3330.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist025486NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102317917MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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