LIGHTHOUSE SPECIALTY PHARMACY LLC (NPI# 1679937288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937288 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE SPECIALTY PHARMACY LLC |
| Other Organization Name | TERRACE PHARMACY |
| Practice Address |
64 Carleton Ave Ste B Islip Terrace NY 11752-1500 |
| Practice Telephone | 6314165577 |
| Practice Fax Number | 6314464222 |
| Mailing Telephone | 6314165577 |
| Mailing Fax Number | 6314464222 |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | SAM DAVID GRAMA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6314165577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
034496 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159501 | 01 | |
| NY | 04540272 | 05 |
| Other Name | Type Code |
|---|---|
| Terrace Pharmacy | Doing Business As Name - Organization |
| Street Address |
64 CARLETON AVE STE B |
| City | ISLIP TERRACE |
| State | NY |
| Zip Code | 11752-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881720985 | M.m.j.j. Inc. | Pharmacy | 64 Carleton Ave Ste B, Islip Terrace, NY 11752-1500 | 2007-02-26 |
| 1144544503 | Mark Charles Goldstein | Pharmacist | 64 Carleton Ave Ste B, Suite B, Islip Terrace, NY 11752-1500 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588190912 | Patricia Gallo | Acupuncturist | 16 Satellite Drive, Islip Terrace, NY 11752 | 2017-05-04 |
| 1780089987 | Veins LLC | Spec/Tech, Cardiovascular | 56 Craig Rd, Islip Terrace, NY 11752 | 2014-10-30 |
| 1265868905 | Menchi Zarco Serina | Registered Nurse | 18 Lodi St, Islip Terrace, NY 11752 | 2013-09-25 |
| 1033379292 | Lottie Walton | Registered Nurse | 255 Sea Cliff Street, Islip Terrace, NY 11752 | 2008-06-11 |
| 1275199895 | Jessica Nichole Heller | Speech-Language Pathologist | 1 Craig B Gariepy Ave, Islip Terrace, NY 11752 | 2019-05-20 |
| 1588093546 | Rachel Stein | Marriage & Family Therapist | 16 Babylon St, Islip Terrace, NY 11752-1002 | 2013-11-09 |
| 1720334667 | Eric James Rauscher | Specialist | 284 Lowell Ave, Islip Terrace, NY 11752-1011 | 2012-07-30 |
| 1750428686 | Cindy E Sanderson | Speech-Language Pathologist | 909 Greenlawn Ave, Islip Terrace, NY 11752-1033 | 2007-01-31 |
| 1891053880 | Suzette Francine Britton Mcneil | Registered Nurse | 239 Babylon St, Islip Terrace, NY 11752-1101 | 2012-04-26 |
| 1700335916 | Kelly A Blydenburgh | Registered Nurse | 238 Rockaway St, Islip Terrace, NY 11752-1105 | 2016-09-28 |
| Find all providers in zip 11752 | ||||
| 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 |
|---|---|---|---|---|
| 1881720985 | M.m.j.j. Inc. | Pharmacy | 64 Carleton Ave Ste B, Islip Terrace, NY 11752-1500 | 2007-02-26 |
| 1467482489 | Parul Pharmacy Inc | Pharmacy | 48 Lowell Ave, Islip Terrace, NY 11752-1415 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 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 | ISLIP TERRACE |
| Zip Code | 11752 |
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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.