ER BLACK PHARMACY INC (NPI# 1467519009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467519009 |
| Entity Type | Organization |
| Organization Name | ER BLACK PHARMACY INC |
| Other Organization Name | HOLLAND PATENT PHARMACY |
| Practice Address |
9553 Main Street Holland Patent NY 13354-0205 |
| Mailing Address |
9553 Main St Holland Patent NY 13354 |
| Practice Telephone | 3158658141 |
| Practice Fax Number | 3158654318 |
| Mailing Telephone | 3158658141 |
| Mailing Fax Number | 3158654318 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | MR. EARL ROBERT BLACK JR. (PRESIDENT PHARMACIST) |
| Authorized Official Telephone | 3158658141 |
| Authorized Official Credential | R PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 024930 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NABP # | 3332727 | 01 |
| NY | 02139724 | 05 |
| Other Name | Type Code |
|---|---|
| Holland Patent Pharmacy | Doing Business As Name - Organization |
| Street Address |
9553 MAIN STREET |
| City | HOLLAND PATENT |
| State | NY |
| Zip Code | 13354-0205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598970055 | John Noviasky | Pharmacist | 7949 Steuben Street, Holland Patent, NY 13354 | 2007-05-10 |
| 1437539160 | Kathryn Cole Armstrong | Speech-Language Pathologist | 9601 Main St, Holland Patent, NY 13354 | 2015-06-08 |
| 1558639492 | Andrew Martin Smith | Physical Therapist | 8987 Camroden Rd, Holland Patent, NY 13354-3413 | 2011-12-07 |
| 1588988836 | Carrie L Ryan | Pharmacist | 8066 Soule Rd, Holland Patent, NY 13354-3538 | 2010-03-16 |
| 1295052181 | Theresa Ann Oleski | Speech-Language Pathologist | 8381 E Floyd Rd, Holland Patent, NY 13354-3549 | 2010-04-30 |
| 1376897066 | Ashley Lynn Mundrick | Pharmacist | 9553 Main St, Holland Patent, NY 13354-3802 | 2012-11-01 |
| 1396277984 | Jason Patterson | Licensed Practical Nurse | 9058 Cemetery Rd, Holland Patent, NY 13354-4002 | 2017-04-01 |
| 1770765331 | Laura Beth Wilson | Licensed Practical Nurse | 8765 S Hill Rd, Holland Patent, NY 13354-4050 | 2007-12-05 |
| 1780961490 | Tracy A Dulan | Physical Therapy Assistant | 9742 Coombs Rd, Holland Patent, NY 13354-4108 | 2011-11-09 |
| 1790248524 | Dylan Racha | Student in an Organized Health Care Education/Training Program | 6841 Glass Factory Rd, Holland Patent, NY 13354-4135 | 2019-04-09 |
| Find all providers in zip 13354 | ||||
| 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] |
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| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 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 | ||||
| City | HOLLAND PATENT |
| Zip Code | 13354 |
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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.