HAVILAND PHARMACY INC (NPI# 1295712966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295712966 |
| Entity Type | Organization |
| Organization Name | HAVILAND PHARMACY INC |
| Other Organization Name | EAST PARK PHARMACY |
| Practice Address |
874 Violet Ave Hyde Park NY 12538 |
| Practice Telephone | 8452292195 |
| Practice Fax Number | 8452298700 |
| Mailing Telephone | 8452292195 |
| Mailing Fax Number | 8452298700 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARTHA JEAN JOLLY (RPH OWNER) |
| Authorized Official Telephone | 8452292195 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 017019 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00768901 | 05 | |
| NCPDP | 3352755 | 01 |
| Other Name | Type Code |
|---|---|
| East Park Pharmacy | Doing Business As Name - Organization |
| Street Address |
874 VIOLET AVE |
| City | HYDE PARK |
| State | NY |
| Zip Code | 12538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932765294 | Linda Rose Eagleton | Social Worker | Ifh Family Practice Center, 11 Crum Elbow, Hyde Park, NY 12538 | 2019-05-13 |
| 1275028649 | Kenneth Mark Graig | Specialist | 21 Mansion Dr, Hyde Park, NY 12538 | 2018-06-27 |
| 1548660301 | Lorraine Little | Licensed Practical Nurse | 1174 Rte. 9g, Hyde Park, NY 12538 | 2014-08-29 |
| 1770871048 | Sai-kit Tseng | Dentist | 5 Alexander Dr # A, Hyde Park, NY 12538 | 2011-07-20 |
| 1780989251 | Marion Laluna | Social Worker | 16 Smith Court, Hyde Park, NY 12538 | 2011-01-14 |
| 1326257528 | Richard W Whalen | Dentist | 7 Pine Woods Road, Hyde Park, NY 12538 | 2007-05-22 |
| 1891907523 | Saint Franicis Hospotal | General Acute Care Hospital | 192 Roosevelt Road, Hyde Park, NY 12538 | 2007-05-04 |
| 1083743710 | Cathleen Rose Dowd | Registered Nurse | 4307 Albany Post Road, Hyde Park, NY 12538 | 2007-03-06 |
| 1184750697 | William Vincent Donohue | Psychiatry & Neurology | 4586 Route 9, Hyde Park, NY 12538 | 2007-02-26 |
| 1932253978 | Sean Lawrence Martin | Chiropractor | 1083 Violet Avenue, Hyde Park, NY 12538 | 2007-01-23 |
| Find all providers in zip 12538 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265758346 | Hyde Park Pharmacy Inc | Pharmacy | 870 Violet Ave Ste 10, Hyde Park, NY 12538-1754 | 2010-04-14 |
| 1508885773 | William C. Irwin | Pharmacy | 4170 Albany Post Rd, Hyde Park, NY 12538-1762 | 2006-07-19 |
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| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
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| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 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.