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FAIRVIEW HILL REALTY CORP NPI 1184797078


NPI Information

NPI: 1184797078
Provider Name: FAIRVIEW HILL REALTY CORP

Doing Business As: FAIRVIEW PHARMACY AND HOMECARE SUPPLY

Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

Address:
4747 NESCONSET HWY
STE 10
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 474-7828
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FAIRVIEW HILL REALTY CORP is an institutional pharmacy pharmacy in Port Jefferson Station, NY. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. FAIRVIEW HILL REALTY CORP NPI is 1184797078. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Pharmacy And Homecare Supply.

The provider's business location address is:

4747 NESCONSET HWY
STE 10
PORT JEFFERSON STATION, NY
ZIP 11776-872
Phone: (631) 474-7828
Fax: (631) 474-7871

The provider's authorized official is Michael Nastro .
The authorized official title is President and has the following contact phone number (631) 474-7828.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 6/9/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336I0012XPharmacyInstitutional Pharmacy022326NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101548030MEDICAIDNEW YORK
20950360001MEDICARE NSC
32061369OTHERPK

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: 5/5/2024

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