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NACSIP INC NPI 1396073060


NPI Information

NPI: 1396073060
Provider Name: NACSIP INC

Doing Business As: LAKE MAHOPAC PHARMACY & SURGICAL

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
559 ROUTE 6
MAHOPAC, NY
ZIP 10541
Phone: (845) 208-0424
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NACSIP INC is a pharmacy in Mahopac, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NACSIP INC NPI is 1396073060. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Mahopac Pharmacy & Surgical.

The provider's business location address is:

559 ROUTE 6
MAHOPAC, NY
ZIP 10541-712
Phone: (845) 208-0424
Fax: (845) 208-0425

The provider's authorized official is Nagi Wissa .
The authorized official title is R.ph,ceo and has the following contact phone number (845) 208-0424.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 4/1/2011.


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
1333600000XPharmacy029930NEW 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
16491560001MEDICARE NSCNEW YORK
23364116OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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