DR. HENRY DIAZ (NPI# 1740614221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740614221 |
| Entity Type | Individual |
| Full Name | DR. HENRY DIAZ |
| Credential | PHARM D. |
| Practice Address |
863 Montauk Hwy Shirley NY 11967-2111 |
| Practice Telephone | 6313991352 |
| Mailing Telephone | 6313991352 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 058555 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154376952 | Henry Diaz | Internal Medicine | Calle Mario Brachi Num 9, Coamo, PR 00769-0000 | 2006-05-23 |
| 1831757020 | Henry Diaz | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-06-03 |
| Street Address |
863 MONTAUK HWY |
| City | SHIRLEY |
| State | NY |
| Zip Code | 11967-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902119456 | Cho-man Wu | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2010-07-26 |
| 1508464207 | Rachel Ann Moore | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2020-10-14 |
| 1184141582 | Adam Sakiel | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2017-08-25 |
| 1316227648 | Angela Wambui Mwaura | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2011-08-18 |
| 1063719805 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 863 Montauk Hwy, Shirley, NY 11967-2141 | 2011-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149744 | Dawn Kirby | Licensed Practical Nurse | 8 Crestwood Drive, Shirley, NY 11967 | 2018-10-03 |
| 1538684451 | Crystal E Gambles | Licensed Practical Nurse | 502 Wellwood Drive, Shirley, NY 11967 | 2017-08-11 |
| 1003330887 | Aura Blum Care, Inc | Licensed Practical Nurse | 436 Auborn Av, Shirley, NY 11967 | 2017-08-02 |
| 1891239687 | Holly Scott-rodriguez | Behavior Technician | 57 Probst Drive, Shirley, NY 11967 | 2016-12-13 |
| 1487106357 | Joann C Duran | Licensed Practical Nurse | 320 Decatur Avenue, East Yaphank, NY 11967 | 2016-10-26 |
| 1053776815 | Andrea Janet Murphy-hamilton | Registered Nurse | 369 Puritan Dr., N Shirley, NY 11967 | 2015-12-22 |
| 1588039598 | Thomas B Maher | Student in an Organized Health Care Education/Training Program | 483 West End Ave., Shirley, NY 11967 | 2015-12-02 |
| 1346676707 | Sharon Marie Dougherty | Social Worker | 1250 William Floyd Parkway, Shirley, NY 11967 | 2013-09-17 |
| 1083964241 | Charlotte Dametra Fleming | Licensed Practical Nurse | 420 Lakepointe Drive, Middleisland, NY 11967 | 2012-09-14 |
| 1982954277 | Sefika Dimaggio | Registered Nurse | 32 Candido Ave, Shirley, NY 11967 | 2012-09-13 |
| Find all providers in zip 11967 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902119456 | Cho-man Wu | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2010-07-26 |
| 1851623011 | Mary Jane Helenek | Pharmacist | 1 Luitpold Dr, Shirley, NY 11967-4709 | 2010-02-12 |
| 1932358017 | Moshira Amer | Pharmacist | 29 Havenwood Dr, Shirley, NY 11967-3901 | 2008-09-15 |
| 1427236223 | Joni Theresa Odongo | Pharmacist | 803 Montauk Hwy Unit D, Shirley, NY 11967-2124 | 2008-02-04 |
| 1639356264 | John T Cassara | Pharmacist | 464 William Floyd Pkwy, Shirley, NY 11967-3468 | 2008-01-25 |
| 1477733715 | Arthur Laurence | Pharmacist | 803 Montauk Hwy, Shirley, NY 11967-2124 | 2007-11-03 |
| 1568641827 | Robert S Lupski | Pharmacist | 403 William Floyd Pkwy, Shirley, NY 11967-3473 | 2007-11-02 |
| 1508464207 | Rachel Ann Moore | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2020-10-14 |
| 1285255422 | Justina S Lin | Pharmacist | 964 Montauk Hwy, Shirley, NY 11967-2119 | 2020-04-28 |
| 1184141582 | Adam Sakiel | Pharmacist | 863 Montauk Hwy, Shirley, NY 11967-2111 | 2017-08-25 |
| Find all providers in SHIRLEY | ||||
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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.