PHELPS MEMORIAL HOSPITAL ASSOCIATION (NPI# 1285706077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285706077 |
| Entity Type | Organization |
| Organization Name | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | VIVO HEALTH PHARMACY AT PHELPS |
| Practice Address |
701 N Broadway Sleepy Hollow NY 10591-1020 |
| Mailing Address |
777 N Broadway Ste 101 Sleepy Hollow NY 10591-1019 |
| Practice Telephone | 9143661400 |
| Practice Fax Number | 9143661408 |
| Mailing Telephone | 9143661400 |
| Mailing Fax Number | 9143661408 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
028009 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2848479 | 05 | |
| PK | 2068676 | 01 |
| Other Name | Type Code |
|---|---|
| Vivo Health Pharmacy at Phelps | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 N Broadway, Ste 101, Sleepy Hollow, NY 105911000 | 9143661400 | 9143661408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861759961 | Phelps Memorial Hospital Association | Family Medicine | 18 Ashford Avenue, Phelps At Dobbs Ferry, Dobbs Ferry, NY 10522-1800 | 2012-04-13 |
| 1831339191 | Phelps Memorial Hospital Association | Specialist | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2009-02-26 |
| 1558517797 | Phelps Memorial Hospital Association | Specialist | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2008-08-07 |
| 1497917918 | Phelps Memorial Hospital Association | Psychiatric Hospital | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2008-06-26 |
| 1497917983 | Phelps Memorial Hospital Association | Internal Medicine | 155 White Plains Rd, 210a, Tarrytown, NY 10591-5523 | 2008-06-26 |
| 1679767586 | Phelps Memorial Hospital Association | Hospice Care, Community Based | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2007-09-04 |
| 1063615318 | Phelps Memorial Hospital Association | Hospice Care, Community Based | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2007-06-06 |
| 1003908658 | Phelps Memorial Hospital Association | Internal Medicine | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2006-09-29 |
| 1720185267 | Phelps Memorial Hospital Association | Pathology | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2006-09-19 |
| 1205851821 | Phelps Memorial Hospital Association | Emergency Medicine | 701 North Broadway, Phelps Memorial Hospital, Sleepy Hollow, NY 10591 | 2006-07-13 |
| Street Address |
701 N BROADWAY |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250287 | Mary Elizabeth Damore | Pediatrics | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2005-07-22 |
| 1326660887 | Yvonne Liang | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1096 | 2020-05-07 |
| 1518588920 | Melina Cherian Pooppallil | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-04-27 |
| 1972130409 | Peter Rasmussen | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1851928220 | Amir Michael Razani | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1124655758 | Jing Xiao | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-24 |
| 1801423793 | Justen Luis Molina | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-23 |
| 1700412640 | Aditi Gupta | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1477189405 | Rachel Graham | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1346876604 | Arlyn Eucaris Fraim | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
Please comment or provide details below to improve the information on PHELPS MEMORIAL HOSPITAL ASSOCIATION.
| 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.