MILL PARK DRUGS INC NPI 1669971172

NPI Information

NPI: 1669971172
Provider Name: MILL PARK DRUGS INC
Classification: Pharmacy - 3336C0004X
Specialization: Compounding Pharmacy
Entity Type: Organization
: ELTINGVILLE PHARMACY TOYS & GIFTS
CLIA Number: 33D1086276
Address: 3948 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 356-1789

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NPI Details

MILL PARK DRUGS INC is a compounding pharmacy pharmacy in Staten Island, NY. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MILL PARK DRUGS INC NPI is 1669971172. The provider is registered as an organization entity type.
The provider Eltingville Pharmacy Toys & Gifts.

The provider's business location address is:

3948 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312-111
Phone: (718) 356-1789
Fax: (718) 356-1777

The provider's authorized official is Silvana Mattioli .
The authorized official title is Owner/ao and has the following contact phone number (718) 356-1789.

The CLIA number assigned to this NPI record is 33D1086276 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 4/26/2018.

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
1	333600000X	Pharmacy				No
2	3336C0004X	Pharmacy	Compounding Pharmacy	036468	NEW YORK	Yes

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
1	00337471	MEDICAID	NEW YORK
2	2176079	OTHER		PK

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: 3/30/2025

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