SHOPRITE PHARMACY OF FOREST AND RICHMOND (MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC) NPI 1003006982

Pharmacy (Community/Retail Pharmacy) in Staten Island, NY

NPI 1003006982 Organization Pharmacy Community/Retail Pharmacy

About SHOPRITE PHARMACY OF FOREST AND RICHMOND (MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC)

Shoprite Pharmacy Of Forest And Richmond (mannix Family Market @ Forest And Richmond Ave Llc) is a provider established in Staten Island, New York specializing in pharmacy (community/retail pharmacy) . The NPI number of Shoprite Pharmacy Of Forest And Richmond (mannix Family Market @ Forest And Richmond Ave Llc) is 1003006982 and was assigned on July 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 028451 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Shoprite Pharmacy Of Forest And Richmond. The authorized official of this NPI record is Melissa Figueroa Rivera (Third Party Administrator)

NPI

1003006982

Provider NameSHOPRITE PHARMACY OF FOREST AND RICHMOND (MANNIX FAMILY MARKET @ FOREST AND RICHMOND AVE LLC)
Provider Location Address985 RICHMOND AVE STATEN ISLAND, NY 10314
Provider Mailing Address985 RICHMOND AVE STATEN ISLAND, NY 10314
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSHOPRITE PHARMACY OF FOREST AND RICHMOND
Other Name TypeDoing Business As (3)
Enumeration Date07-27-2007
Last Update Date06-30-2015


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.028451
License StateNY
Taxonomy DescriptionA 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.

Business Address

SHOPRITE PHARMACY OF FOREST AND RICHMOND
985 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 982-8615
Fax: (718) 982-8633

Get Directions


Mailing Address

SHOPRITE PHARMACY OF FOREST AND RICHMOND
985 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10314
Phone:



Authorized Official

Authorized Official Name MELISSA FIGUEROA RIVERA
Authorized Official TitleTHIRD PARTY ADMINISTRATOR
Authorized Official Phone(732) 521-8439

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3354381OTHER (01)
5983440001MEDICARE NSC (07)NY

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093962987 MUHAMMED TANVIR KHAN
Individual
Pharmacist985 RICHMOND AVE
STATEN ISLAND, NY 10314
(718) 982-8615
1841514072MRS. AMAL IMIL AZIZ PHARMACIST
Individual
Pharmacist985 RICHMOND AVE
STATEN ISLAND, NY 10314
(718) 982-8615
1407961287SHOPRITE PHARMACY 108
Organization
Pharmacy985 RICHMOND AVE
STATEN ISLAND, NY 10314
(718) 982-8615

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.