NACSIP INC (NPI# 1396073060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396073060 |
| Entity Type | Organization |
| Organization Name | NACSIP INC |
| Other Organization Name | LAKE MAHOPAC PHARMACY & SURGICAL |
| Practice Address |
559 Route 6 Mahopac NY 10541-4712 |
| Practice Telephone | 8452080424 |
| Practice Fax Number | 8452080425 |
| Mailing Telephone | 8452080424 |
| Mailing Fax Number | 8452080425 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | NAGI WISSA (R.PH,CEO) |
| Authorized Official Telephone | 8452080424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 029930 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3364116 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Mahopac Pharmacy & Surgical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NACSIP INC. | 559 Us Route 6, Mahopac, Ny 10541 |
| Street Address |
559 ROUTE 6 |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407026024 | Nagi Wissa | Pharmacist | 559 Route 6, Lake Mahopca Pharamcy & Surgical, Mahopac, NY 10541 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216539 | Erin Grace Ricciardi | Speech-Language Pathologist | 572 Us-6, Mahopac, NY 10541 | 2020-05-15 |
| 1053963264 | Jaleesa Lucas | Occupational Therapy Assistant | 530 Us-6, Mahopac, NY 10541 | 2019-07-09 |
| 1437717535 | Michelle Gervasi | Registered Nurse | 182 Bullethole Rd, Mahopac, NY 10541 | 2019-06-03 |
| 1952968448 | Landman General and Implant Dentistry, Pllc | Clinic/Center | Landman Dentistry By The Lake Pllc, 21 Clark Pl, Mahopac, NY 10541 | 2019-05-21 |
| 1063995934 | Amanda Jean Basting | Speech-Language Pathologist | 572 Us 6, Mahopac, NY 10541 | 2018-09-07 |
| 1669980801 | Kelly Marie Banker | Early Intervention Provider Agency | 120 Vista Terrace S., Mahopac, NY 10541 | 2018-01-22 |
| 1154831485 | Sheila A Samuels | Registered Nurse | 214 Willow Drive, Mahopac, NY 10541 | 2017-09-29 |
| 1215476031 | Rachek Glock | Pharmacist | 100 East Lake Blvd, Mahopac, NY 10541 | 2017-02-13 |
| 1831646223 | Catherine Westcott | Specialist | 23 Stuart Road, Mahopac, NY 10541 | 2016-09-02 |
| 1871925263 | Mansi Upadhyaya | Pharmacist | 100 East Lake Boulevard, Mahopac, NY 10541 | 2013-08-07 |
| Find all providers in zip 10541 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847153 | K Mart Corp | Pharmacy | 987 Rt 6 and Baldwin Plaza, Mahopac, NY 10541 | 2006-07-06 |
| 1962493452 | Mahopac Pharmacy Inc. | Pharmacy | 936 S Lake Blvd, Mahopac, NY 10541-3242 | 2005-11-02 |
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| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 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.