SOUTHSHORE PHARMACY CORP. NPI 1417183518

NPI Details

SOUTHSHORE PHARMACY CORP. is a pharmacy in Staten Island, 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. SOUTHSHORE PHARMACY CORP. NPI is 1417183518. The provider is registered as an organization entity type.

The provider's business location address is:

4020 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10308-331
Phone: (718) 948-4848
Fax: (718) 948-4899

The provider's authorized official is Mariya N Braginsky .
The authorized official title is Pic/owner and has the following contact phone number (718) 948-4848.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 6/3/2009 and was last updated on 7/27/2021.

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:

Other Identifiers

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