SHORE PHARMACEUTICAL PROVIDERS LLC (NPI# 1184648511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184648511 |
| Entity Type | Organization |
| Organization Name | SHORE PHARMACEUTICAL PROVIDERS LLC |
| Other Organization Name | OMNICARE OF PLAINVIEW |
| Practice Address |
55 W Ames Ct Suite 200 Plainview NY 11803-2304 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5169388080 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of Plainview | Doing Business As Name - Organization |
| Omnicare of Plainview #48313 | Doing Business As Name - Organization |
| Street Address |
55 W AMES CT SUITE 200 |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446299 | Rosalina Serrano | Counselor | 55 W Ames Ct, Plainview, NY 11803-2304 | 2020-10-29 |
| 1760080717 | Sheniqua Smith | Student in an Organized Health Care Education/Training Program | 55 W Ames Ct, Plainview, NY 11803-2304 | 2020-10-13 |
| 1023616331 | Kathleen Wellenberger | Registered Nurse | 55 W Ames Ct, Plainview, NY 11803-2304 | 2020-10-09 |
| 1851907240 | Susan Yanira Velasquez | Social Worker | 55 W Ames Ct, Plainview, NY 11803-2304 | 2020-09-21 |
| 1174170468 | Stephanie Lamendola | Social Worker | 55 W Ames Ct, Plainview, NY 11803-2304 | 2019-08-21 |
| 1972163830 | Janice Anderson-small | Counselor | 55 W Ames Ct, Plainview, NY 11803-2304 | 2019-06-13 |
| 1659939916 | Jessica Adelman | Social Worker | 55 W Ames Ct, Plainview, NY 11803-2304 | 2019-06-03 |
| 1609434851 | Luis Hidalgo | Peer Specialist | 55 W Ames Ct, Plainview, NY 11803-2304 | 2019-06-03 |
| 1164914602 | Jillian Michele Yedid | Counselor | 55 W Ames Ct, Plainview, NY 11803-2304 | 2018-05-31 |
| 1689183865 | Antoinette Sara Degruccio | Social Worker | 55 W Ames Ct, Plainview, NY 11803-2304 | 2017-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592856 | Dendinger Drug, LLC | Pharmacy | 103 S Main St, Plainview, NE 68769-4121 | 2020-03-06 |
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| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1326684069 | Procare Ltc of Syracuse, LLC | Pharmacy | 621 E Brighton Ave, Syracuse, NY 13210-4254 | 2019-11-18 |
| 1376108670 | Bh Drug Corp | Pharmacy | 8780a Sutphin Blvd, Jamaica, NY 11435-3342 | 2019-05-02 |
| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.