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STATEWIDE TELEHEALTH
NPI 1659963718
Pharmacy in Bay Shore, NY

Active since February 09, 2021
89 JUNARD DR, BAY SHORE, NY 11706(254) 244-1660 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Statewide Telehealth NPPES

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

STATEWIDE TELEHEALTH (NPI 1659963718) is a healthcare organization registered as a pharmacy in Bay Shore, New York and active in the NPI registry since February 2021. The organization lists Carmen Diaz, Office Managr, as its authorized official.

NPPES Registry Identity

NPI1659963718
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSTATEWIDE TELEHEALTH
Location Address89 JUNARD DRBay Shore, NY 11706-4516
Mailing Address89 Junard DrBay Shore, NY 11706-4516
Phone(254) 244-1660
Organization SubpartNo
Authorized OfficialCarmen DiazOffice Managr · (254) 244-1660
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1659963718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
89 JUNARD DR, Bay Shore, NY 11706
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Other Identifiers 1

Medicaid829824969NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN DIAZ
Family Medicine
89 JUNARD DR
BAY SHORE, NY 11706
Suffolk County (254) 244-1660

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 Statewide Telehealth's NPI number?

The NPI number for Statewide Telehealth is 1659963718. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Statewide Telehealth located?

Statewide Telehealth is located at 89 Junard Dr, Bay Shore, NY 11706. The listed phone number is (254) 244-1660.

What is Statewide Telehealth's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Statewide Telehealth was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.