Provider Type Icon

LIVINGSTON MANOR PHARMACY LLC NPI 1669713939


NPI Information

NPI: 1669713939
Provider Name: LIVINGSTON MANOR PHARMACY LLC

Doing Business As: THE MEDICINE SHOPPE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
47 STEWART AVE
ROSCOE, NY
ZIP 12776
Phone: (607) 498-4111
Get Directions

LIVINGSTON MANOR PHARMACY LLC is a community/retail pharmacy pharmacy in Roscoe, 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. LIVINGSTON MANOR PHARMACY LLC NPI is 1669713939. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Shoppe Pharmacy.

The provider's business location address is:

47 STEWART AVE
ROSCOE, NY
ZIP 12776-105
Phone: (607) 498-4111
Fax: (607) 498-4113

The provider's authorized official is Sheetal Patel .
The authorized official title is Member and has the following contact phone number (845) 297-0549.

The enumeration date for this NPI number is 3/11/2013 and was last updated on 12/1/2016.


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 Pharmacy031823NEW 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
12139292OTHERPK
203929137MEDICAIDNEW YORK
36739910001MEDICARE 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.