TARGET (NPI# 1356719454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356719454 |
| Entity Type | Organization |
| Organization Name | TARGET |
| Practice Address |
500 W Sunrise Hwy Valley Stream NY 11581-1001 |
| Practice Telephone | 5165689275 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | DR. ANDRE TAYLOR-DOMVILLE JR. (PHARMACIST) |
| Authorized Official Telephone | 2014503990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 061081 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927069 | Target | Pharmacist | 6944 Lakeway St, Ypsilanti, MI 48197-1052 | 2015-11-19 |
| 1093183113 | Target | Clinic/Center | 2228 S Sanctuary Dr, New Berlin, WI 53151-1920 | 2015-09-05 |
| 1841666328 | Target | Community/Behavioral Health | 14391 Chantilly Crossing Lane, Chantilly, VA 20151 | 2015-08-19 |
| 1336540301 | Target | Pharmacy | 1040 Deer Ridge Dr, Baltimore, MD 21210-2558 | 2014-09-10 |
| 1164781167 | Target | Pharmacist | 2840 Ash Ridge Dr, Beavercreek, OH 45434-5895 | 2012-05-10 |
| 1104295054 | Target | Pharmacy | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-09-22 |
| 1215306642 | Target | Pharmacy | 3150 Business Park Dr, Vista, CA 92081-8520 | 2015-09-15 |
| 1336525054 | Target | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2015-08-04 |
| 1104200203 | Target | Pharmacy | 15922 Crain Hwy, Brandywine, MD 20613-8000 | 2015-07-17 |
| 1447637186 | Target | Pharmacy | 30333 Southfield Rd, Southfield, MI 48076-1352 | 2015-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARGET | 500 S Hicks Rd, Palatine, IL 60067-6943 |
| Vermont Business Registrations | TARGET - R.A.D. | Rfd #1, Newport, VT 05855 |
| Indiana Business Entities | TARGET 1 MARKETING LLC | 597 Country Club Estates Dr., Corydon, IN 47112 |
| Colorado Business Entities | Target 1, LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| New York State Corporations | TARGET 10 NICHE MARKETING & PUBLIC RELATIONS, INC. | 522 West 50th Street, #c2, New York, New York 10019 |
| Washington State Corporations | TARGET 13, L.L.C. | 1316 E College Way, Mount Vernon, WA 98273-5619 |
| Colorado Business Entities | Target 2 LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| Oregon Corporations, Companies and Business Names | TARGET 2004, L.L.C. | 3136 Ne Jackson Rd Lp, Hillsboro, OR 97124 |
| New York State Corporations | TARGET 250, INC. | Hippodrome Ctr 4th Floor, 1120 Avenue of The Americas, New York, New York 10036 |
| Massachusetts Corporations | TARGET 250, INC. | 1170 Headquarters Plaza, Morristown, NJ 07960 |
| Street Address |
500 W SUNRISE HWY |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134141765 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2006-07-24 |
| 1366991465 | Vania Joy Pabelonia | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2016-09-29 |
| 1184014888 | Aishah Bovell | Pharmacy Technician | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2015-02-02 |
| 1669798518 | Chana Lieberman | Pharmacist | 500 W Sunrise Hwy, Target Pharmacy T-1262, Valley Stream, NY 11581-1001 | 2010-04-18 |
| 1821311879 | Sherri Tichner | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2010-03-04 |
| 1760651970 | Edward Stevan Karaban | Pharmacist | 500 W Sunrise Hwy, Pharmacy Department, Valley Stream, NY 11581-1001 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932677275 | Stephanie Wong | Pharmacist | 56 Wellsboro Rd, Valley Stream, NY 11580-1836 | 2018-11-05 |
| 1669969127 | Helena M Reichert | Pharmacist | 1 Kalmia Ln, Valley Stream, NY 11581-2325 | 2018-04-19 |
| 1699133744 | Minyoung Yu | Pharmacist | 20 Longview Ave, Valley Stream, NY 11581-2821 | 2016-02-03 |
| 1023400330 | Christopher Khemraj | Pharmacist | 290 W Merrick Rd, Valley Stream, NY 11580-5360 | 2015-02-23 |
| 1942621974 | Sandeep Dhamija | Pharmacist | 124 William St, Valley Stream, NY 11580-3604 | 2013-12-17 |
| 1891035523 | Ali Hussain | Pharmacist | 1665 Sherbourne Rd, Valley Stream, NY 11580-1829 | 2013-02-16 |
| 1104173392 | Azzam Elcheikh | Pharmacist | 54 Cohill Rd, Valley Stream, NY 11580-5150 | 2012-08-07 |
| 1932464427 | Syed Sohaib Kazim | Pharmacist | 162 Green Acres Rd, Valley Stream, NY 11581-1506 | 2012-07-10 |
| 1043581929 | Jessica A Tortora | Pharmacist | 636 Diane Pl, Valley Stream, NY 11581-3008 | 2012-01-24 |
| 1558642785 | Nida Siddiqi | Pharmacist | 21 Foster Avenue, Valley Stream, NY 11580-2957 | 2011-09-01 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on TARGET.
| 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.