SOUTH FULTON PHARMACY INC (NPI# 1558725499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558725499 |
Entity Type | Organization |
Organization Name | SOUTH FULTON PHARMACY INC |
Other Organization Name | SOUTH FULTON PHARMACY INC. |
Practice Address |
301 S Fulton Ave Mount Vernon NY 10553-1715 |
Practice Telephone | 9146677772 |
Practice Fax Number | 9146677774 |
Mailing Telephone | 9146677772 |
Mailing Fax Number | 9146677774 |
Enumeration Date | 2016-04-06 |
Last Update Date | 2017-01-18 |
Authorized Official Name | AYMEN JABER (PRESIDENT) |
Authorized Official Telephone | 9146677772 |
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 |
034357 | NY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2159434 | 01 |
Other Name | Type Code |
---|---|
South Fulton Pharmacy Inc. | Doing Business As Name - Organization |
Street Address |
301 S FULTON AVE |
City | MOUNT VERNON |
State | NY |
Zip Code | 10553-1715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679072516 | Minnie Mae Social Adult Day Center LLC | Clinic/Center | 301 S Fulton Ave, Mount Vernon, NY 10553 | 2018-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629584438 | Monique Gallimore | Behavioral Analyst | 299e. Sidney Ave., Mount Vernon, NY 10553 | 2017-12-18 |
1700321742 | Patricia Murphy | Counselor | 256 Washington St., Mt. Vernon, NY 10553 | 2016-12-29 |
1568919082 | Douglas Bryant Srour | Counselor | 256 Washington Street, Mount Vernon, NY 10553 | 2016-09-01 |
1013330737 | Laurie-ann Benjamin | Registered Nurse | 203 S. Columbus Ave, Apt. 03, Mt. Vernon, NY 10553 | 2014-01-31 |
1982981288 | Fabiola Estera | Case Manager/Care Coordinator | 110 Vernon Avenue, Apt 2l, Mt. Vernon, NY 10553 | 2011-11-15 |
1023349396 | Inez Rosemary Hamilton | Licensed Practical Nurse | 267 Franklin Ave, Mount Vernon, NY 10553 | 2010-01-26 |
1619100609 | Elizabeth Gelfand | Social Worker | 9 W. Prospect Ave Suite 412, The Guidance Center of Westchester, Mount Vernon, NY 10553 | 2009-08-25 |
1306042395 | Biagio Scialpi | Family Medicine | 165 North Columbus Ave, The School District of Mount Vernon City, Mount Vernon, NY 10553 | 2007-06-26 |
1518015429 | Roberta James | Registered Nurse | 76 Vernon Avenue, Mount Vernon, NY 10553 | 2007-01-08 |
1740229186 | Julia Abend | Dentist | 1075 Central Park Avenue, Suite 207, Scarsdale Oral Surgery, P.C., Scarsdale, NY 10553 | 2006-06-04 |
Find all providers in zip 10553 |
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 |
---|---|---|---|---|
1114545571 | Medlife Pharmacy LLC | Pharmacy | 213 Highway 37 Ste 200&300, Mount Vernon, TX 75457-3106 | 2020-07-10 |
1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
1811040918 | Brown & Cole Stores LLC | Pharmacy | 1515 N 18th St, Mount Vernon, WA 98273-2675 | 2007-01-19 |
1649374695 | Marco Pharmacy and Optical Inc | Pharmacy | 4121 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-09-12 |
1992808695 | Hook Superx LLC | Pharmacy | 700 E 4th St, Mount Vernon, IN 47620-2011 | 2006-09-07 |
1467555235 | Highland Park Cvs, L.L.C. | Pharmacy | 2700 Broadway St, Mount Vernon, IL 62864-2342 | 2006-09-07 |
1316970650 | Haggen, Inc | Pharmacy | 2601 E Division St, Mount Vernon, WA 98274-4748 | 2006-07-09 |
1417923012 | Mt Vernon Community Pharmacy Inc | Pharmacy | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-02-24 |
1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
1639644156 | Mabd Enterprises, LLC | Pharmacy | 115 W Spring St, Mount Vernon, GA 30445-2957 | 2018-10-11 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 10553 |
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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.