| NPI | 1174926406 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-10-01 |
| Last Updated | 2025-02-12 |
| Authorized Official | Donna Drummond SVP, Chief Expense Officer Phone: 7184708486 |
| Mailing Address | 1983 Marcus Ave Ste 118 New Hyde Park, NY 11042-1016 United States Phone: (718) 470-8486 | Fax: (718) 470-5508 📍 View Map |
| Primary Practice Address | 270-05 76th Ave, Attn: Vivo Health Pharmacy At Lij New Hyde Park, NY 11040-1402 United States Phone: (718) 470-8486 | Fax: (718) 470-5508 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 04133506 | - |
| Other (non-Medicare) | - | 5811799 | NABP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NY | 032927 |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
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About NPI 1174926406
Long Island Jewish Medical Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1174926406. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in New Hyde Park, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-10-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174926406?
NPI 1174926406 belongs to Long Island Jewish Medical Center, a Pharmacy, Community/Retail Pharmacy in New Hyde Park, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174926406 active?
The current status of NPI 1174926406 in the NPPES registry is Active. The record was last updated on 2025-02-12.
What specialty is NPI 1174926406?
NPI 1174926406 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174926406?
You can verify NPI 1174926406 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174926406?
The primary practice address on file for NPI 1174926406 is 270-05 76th Ave, New Hyde Park, NY 11040-1402. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174926406 issued?
NPI 1174926406 was first issued (enumerated) on 2014-10-01. The NPPES record was last updated on 2025-02-12.
Practice Location Map
Long Island Jewish Medical Center is located at 270-05 76th Ave, New Hyde Park, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Long Island Jewish Medical Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174926406. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 032927 | NY |