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MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC NPI 1003006982


NPI Profile

NPI: 1003006982
Provider Name: MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC

Doing Business As: SHOPRITE PHARMACY OF FOREST AND RICHMOND

Classification:Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
985 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314
Get Directions

Phone: (718) 982-8615

MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC 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. MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC NPI is 1003006982. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoprite Pharmacy Of Forest And Richmond.

The provider's business location address is:

985 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314-501
Phone: (718) 982-8615
Fax: (718) 982-8633

The provider's authorized official is Melissa Figueroa Rivera .
The authorized official title is Third Party Administrator and has the following contact phone number (732) 521-8439.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 6/30/2015.


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
13336C0003XPharmacyCommunity/Retail Pharmacy028451NEW 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
13354381OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
25983440001MEDICARE NSCNEW 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: 6/14/2021

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