JACKSON HEART INC (NPI# 1144304270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144304270 |
| Entity Type | Organization |
| Organization Name | JACKSON HEART INC |
| Other Organization Name | GLEN HEAD PHARMACY |
| Practice Address |
699 Glen Cove Ave Glen Head NY 11545-1602 |
| Practice Telephone | 5166761004 |
| Practice Fax Number | 5166765407 |
| Mailing Telephone | 5166761004 |
| Mailing Fax Number | 5166765407 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | JOHN NOONE (SUPERVISING PHCST) |
| Authorized Official Telephone | 5166761004 |
| Authorized Official Credential | RPH |
| 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 |
019181 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2064429 | 01 | |
| NY | 00991084 | 05 |
| Other Name | Type Code |
|---|---|
| GLEN HEAD PHARMACY | Doing Business As Name - Organization |
| Street Address |
699 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202106 | Joseph D'antonio Jr. | Pharmacist | 699 Glen Cove Ave, Glen Head, NY 11545-1602 | 2010-03-29 |
| 1245553429 | John James Noone | Pharmacist | 699 Glen Cove Ave, Glen Head, NY 11545-1502 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| 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] |
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| Find all providers with the same taxonomy | ||||
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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.