Provider Type Icon

CLASSIC PHARMACY INC NPI 1093757874


NPI Information

NPI: 1093757874
Provider Name: CLASSIC PHARMACY INC

Doing Business As: CLASSIC PHARMACY INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1284 CLOVE RD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 727-0022
Get Directions

CLASSIC PHARMACY INC is a community/retail pharmacy pharmacy in Staten Island, NY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CLASSIC PHARMACY INC NPI is 1093757874. The provider is registered as an organization entity type.
The provider Is Doing Business As Classic Pharmacy Inc.

The provider's business location address is:

1284 CLOVE RD
STATEN ISLAND, NY
ZIP 10301-301
Phone: (718) 727-0022
Fax: (718) 727-3316

The provider's authorized official is Edward Brancale .
The authorized official title is President and has the following contact phone number (718) 727-0022.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 1/20/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy021293NEW 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
101332365MEDICAIDNEW YORK
22063241OTHERPK
30799510001MEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.