MANOR PHARMACY LLC (NPI# 1477990687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477990687 |
| Entity Type | Organization |
| Organization Name | MANOR PHARMACY LLC |
| Other Organization Name | MANOR PHARMACY LLC |
| Practice Address |
43a Main St Livingston Manor NY 12758-5145 |
| Mailing Address |
Po Box 1420 Livingston Manor NY 12758-1420 |
| Practice Telephone | 8454391188 |
| Practice Fax Number | 8454391194 |
| Mailing Telephone | 8454391188 |
| Mailing Fax Number | 8454391194 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | SONAL TRIVEDI (VICE PRESIDENT) |
| Authorized Official Telephone | 9147990199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
031991 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140313 | 01 | |
| NY | 03621698 | 05 |
| Other Name | Type Code |
|---|---|
| Manor Pharmacy LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MANOR PHARMACY LLC | 2056 Antoine Drive, #120, Houston, TX 77055 |
| Street Address |
43A MAIN ST |
| City | LIVINGSTON MANOR |
| State | NY |
| Zip Code | 12758-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352545 | Mohammad Shehzad Khan | Pharmacist | 43a Main St, Livingston Manor, NY 12758-5145 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079242 | Erinn Kathleen Garcia | Registered Nurse | 110 Dubois St, Livingston Manor, NY 12758 | 2018-10-15 |
| 1770084386 | Marilyn Squires | Licensed Practical Nurse | 26 High Street, Livingston Manor, NY 12758 | 2018-02-28 |
| 1144540576 | Shanequia Young | Licensed Practical Nurse | 71 School Street, Livingston Manor, NY 12758 | 2010-06-08 |
| 1518198605 | Ashlee Lyn Green | Licensed Practical Nurse | 72 Midway Rd, Livingston Manor, NY 12758 | 2009-08-06 |
| 1801954425 | Lazar Fruchter | Specialist | 641 Knickerbocker Rd, Livingston, NY 12758 | 2006-12-05 |
| 1477625002 | Lmrx Inc | Pharmacy | 43 A Main St, Livington Manor, NY 12758 | 2006-11-15 |
| 1578789723 | Frumess Nurse Practitioner Family Health Pllc | Nurse Practitioner | 43 Main Street, Livingston Manor, NY 12758 | 2007-04-17 |
| 1134288426 | Macheneh Medical | Specialist | 641 Knickerbocker Rd, Livingston, NY 12758 | 2006-12-06 |
| 1215287446 | Maryann Catherine Perrella | Specialist | 91 Wards Road, Livingston Manor, NY 12758-0094 | 2012-09-14 |
| 1629494554 | Colleen Anne Casey | Registered Nurse | 25 Hoag Road, Livingston Manor, NY 12758-0161 | 2014-03-17 |
| Find all providers in zip 12758 | ||||
| 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] |
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|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
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| 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 | LIVINGSTON MANOR |
| Zip Code | 12758 |
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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.