EMBLEMHEALTH SERVICES COMPANY (NPI# 1952529174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952529174 |
| Entity Type | Organization |
| Organization Name | EMBLEMHEALTH SERVICES COMPANY |
| Other Organization Name | EMBLEMHEALTH PHARMACY |
| Practice Address |
1050 Clove Rd Staten Island NY 10301-3627 |
| Mailing Address |
Po Box 5228 New York NY 10087-5228 |
| Practice Telephone | 7188163672 |
| Practice Fax Number | 7189812837 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RODGER ROSICKI (DIRECTOR, CORP PHARMCY PROGRAM, AO) |
| Authorized Official Telephone | 6464471204 |
| 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 |
018987 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064659 | 01 | |
| NY | 00974332 | 05 |
| Other Name | Type Code |
|---|---|
| EmblemHealth Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306065610 | Emblemhealth Services Company | Pharmacy | 96 10 Metropolitan Ave, Forest Hills, NY 11375 | 2007-04-25 |
| 1720206923 | Emblemhealth Services Company | Pharmacy | 86 15 Queens Blvd, Elmhurst, NY 11373-4497 | 2007-04-23 |
| 1639397896 | Emblemhealth Services Company | Pharmacy | 180 05 Hillside Ave, Jamaica, NY 11432-4727 | 2007-04-23 |
| 1881147924 | Emblemhealth Services Company | Pharmacy | 52 Duane St, New York, NY 10007-1207 | 2016-07-25 |
| 1851510168 | Emblemhealth Services Company | Pharmacy | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2007-04-25 |
| 1689893992 | Emblemhealth Services Company | Pharmacy | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2007-04-25 |
| 1124247432 | Emblemhealth Services Company | Pharmacy | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-04-25 |
| 1942429253 | Emblemhealth Services Company | Pharmacy | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2007-04-25 |
| 1306064795 | Emblemhealth Services Company | Pharmacy | 226 Clinton St, Hempstead, NY 11550-2614 | 2007-04-23 |
| 1568680668 | Emblemhealth Services Company | Pharmacy | 215 E 95th St, New York, NY 10128-4077 | 2007-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EMBLEMHEALTH SERVICES COMPANY, LLC | 55 Water Street, New York, Ny 10041 |
| Street Address |
1050 CLOVE RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152681 | Alma Janet Olivos-asarian | Ophthalmology | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2005-08-24 |
| 1609399344 | Jean Ellen Tepelmann | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-07-25 |
| 1912445644 | Barbara A Casuso | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-02-01 |
| 1063954113 | Advantagecare Physicians PC | Family Medicine | 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 | 2016-11-07 |
| 1144678954 | Staten Island Physician Practice PC | Family Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2016-06-02 |
| 1801275375 | Peter De Cesare | Respiratory Therapist, Registered | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-05-29 |
| 1518344365 | Mirjeta Abazaga | Optometrist | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-04-30 |
| 1336532126 | Shirley Vincent | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-03-18 |
| 1609267707 | Princy Mary Paulose | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-02-10 |
| 1992102644 | Danielle Decesare | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| 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 |
|---|---|---|---|---|
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1902414048 | Fresh Rx LLC | Pharmacy | 436 Nome Ave, Staten Island, NY 10314-6039 | 2020-07-15 |
| 1013547629 | Sunning Pharmacy Inc. | Pharmacy | 1836 Hylan Blvd Ste B, Staten Island, NY 10305-1935 | 2020-01-22 |
| 1780221879 | Nile Care Pharma Corp. | Pharmacy | 1509 Hylan Blvd, Staten Island, NY 10305-1907 | 2019-12-08 |
| 1295377760 | Rx Box Pharmacy Corp. | Pharmacy | 3265 Richmond Ave, Staten Island, NY 10312-2123 | 2019-10-16 |
| 1174088348 | H&r Nyc Pharmaceutical LLC | Pharmacy | 1265 Clove Rd # Storee, Staten Island, NY 10301-4339 | 2019-02-01 |
| 1013488121 | Michael Michail | Pharmacy | 36 Prices Ln, Staten Island, NY 10314-4618 | 2018-12-16 |
| 1841616208 | Ibram Pharmacy Inc | Pharmacy | 1756 Hylan Blvd, Staten Island, NY 10305-1932 | 2014-03-10 |
| 1912258807 | Victory Family Pharmacy, LLC | Pharmacy | 1975 Victory Blvd Ste A, Staten Island, NY 10314-3536 | 2012-10-02 |
| 1356609143 | New Dorp Pharmacy Corp | Pharmacy | 62 New Dorp Plz, Staten Island, NY 10306-2920 | 2012-04-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on EMBLEMHEALTH SERVICES COMPANY.
| 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.