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CLASSIC PHARMACY INC
NPI 1093757874
Pharmacy - Community/Retail Pharmacy in Staten Island, NY

Active since June 13, 2006
1284 CLOVE RD, STATEN ISLAND, NY 10301(718) 727-0022(718) 727-3316 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2016, Nov 20, 2015 (2 updates tracked since 2015).

About Classic Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLASSIC PHARMACY INC (NPI 1093757874) is a healthcare organization registered as a community/retail pharmacy in Staten Island, New York and active in the NPI registry since June 2006. The organization lists Edward Brancale, President, as its authorized official.

NPPES Registry Identity

NPI1093757874
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLASSIC PHARMACY INC
Location Address1284 CLOVE RDStaten Island, NY 10301-4301
Mailing Address1284 Clove RdStaten Island, NY 10301-4301 · (718) 727-0022 · Fax (718) 727-3316
Phone(718) 727-0022
Fax(718) 727-3316
Organization SubpartNo
Authorized OfficialEdward BrancalePresident · (718) 727-0022
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 20, 20162 updates tracked since enumeration
✔ NPI 1093757874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 021293
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
1284 CLOVE RD, Staten Island, NY 10301
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Other Names 1

Doing Business AsClassic Pharmacy Inc

Other Identifiers 3

Medicaid01332365NY
Other2063241Pk
Medicare NSC0799510001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Classic Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120928000486Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
81 services81 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
75 services75 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Classic Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Classic Pharmacy Inc

DMEPOS supplier · Staten Island, NY
✔

Accepts Medicare assignment

Classic Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20520365
Medicare Participant SinceAugust 6, 2012
Supplier Location1284 Clove RdStaten Island, NY 10301
Phone(718) 727-0022
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Classic Pharmacy Inc's NPI number?

The NPI number for Classic Pharmacy Inc is 1093757874. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Classic Pharmacy Inc located?

Classic Pharmacy Inc is located at 1284 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 727-0022.

What is Classic Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Classic Pharmacy Inc enrolled in Medicare?

Yes. Classic Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Classic Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Mass Immunization (Roster Biller Only)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Classic Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Classic Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Classic Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Classic Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Classic Pharmacy Inc was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.