EMBLEMHEALTH SERVICES COMPANY (NPI# 1124247432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124247432 |
| Entity Type | Organization |
| Organization Name | EMBLEMHEALTH SERVICES COMPANY |
| Other Organization Name | EMBLEMHEALTH PHARMACY |
| Practice Address |
640 Hawkins Ave Lake Ronkonkoma NY 11779-2324 |
| Mailing Address |
Po Box 5228 New York NY 10087-5228 |
| Practice Telephone | 6314711060 |
| Practice Fax Number | 6315867541 |
| Mailing Telephone | 6464470372 |
| Mailing Fax Number | 2125105372 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RODGER ROSICKI (DIRECTOR CORPORATE PHARMACY PROGRAM) |
| 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 |
020581 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01189431 | 05 | |
| PK | 2066694 | 01 |
| 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 |
| 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 |
| 1710105184 | Emblemhealth Services Company | Pharmacy | 300 Bay Shore Rd, North Babylon, NY 11703-2823 | 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 |
640 HAWKINS AVE |
| City | LAKE RONKONKOMA |
| State | NY |
| Zip Code | 11779-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546812 | Mohinder K Guram | Pediatrics | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2006-05-19 |
| 1962734541 | Long Island, Queens Hearing Asso Inc | Hearing Aid Equipment | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2010-02-05 |
| 1023349115 | Joseph Patrick Frank | Pharmacist | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2010-01-29 |
| 1619203262 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2009-11-02 |
| 1023245479 | Tara K Singh | Internal Medicine | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2009-06-12 |
| 1992903264 | Manish Chadha | Internal Medicine | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-07-06 |
| 1033315775 | Diana Kaplinsky | Internal Medicine | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-06-21 |
| 1912109604 | Salma Afroze | Obstetrics & Gynecology | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-06-04 |
| 1821135567 | Andrew William Caradona | Pharmacist | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-01-31 |
| 1245310903 | Qlimg Ronkonkoma Med Office | Allergy & Immunology | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| 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 |
|---|---|---|---|---|
| 1023117207 | Genovese Drug Stores Inc | Pharmacy | 601 Portion Rd, Lake Ronkonkoma, NY 11779-4583 | 2006-09-22 |
| 1306941380 | Medical Group Pharmacy Inc | Pharmacy | 650 Hawkins Ave, Lake Ronkonkoma, NY 11779-2366 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396388 | Sharx Corp | Pharmacy | 4301 48th Ave, Woodside, NY 11377-6241 | 2020-11-03 |
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1760080741 | Carol Pharmacy LLC | Pharmacy | 4230 Broadway, New York, NY 10033-3746 | 2020-10-13 |
| 1528666443 | Mvp Pharmacy Inc | Pharmacy | 920 Wheeler Rd Ste 920, Hauppauge, NY 11788-2900 | 2020-10-13 |
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE RONKONKOMA |
| Zip Code | 11779 |
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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.