GENOVESE DRUG STORES INC (NPI# 1447359617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447359617 |
| Entity Type | Organization |
| Organization Name | GENOVESE DRUG STORES INC |
| Other Organization Name | RITE AID PHARMACY 10649 |
| Practice Address |
2799 Route 112 Medford NY 11763-2535 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6317582800 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
019123 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00968621 | 05 | |
| OTHER ID NUMBER | 3387607 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10649 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891883211 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 215 Federal Road, Brookfield, CT 06804-2630 | 2006-10-11 |
| 1235230053 | Genovese Drug Stores Inc | Pharmacy | 599 E Main St, Bay Shore, NY 11706-8505 | 2006-09-26 |
| 1225139033 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 457 Park Avenue, Lindenhurst, NY 11757-5250 | 2006-09-26 |
| 1306947106 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2221 65th Street, Brooklyn, NY 11204 | 2006-09-26 |
| 1174624076 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 237 241 Avenue U, Brooklyn, NY 11223 | 2006-09-26 |
| 1780785501 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1710 Crosby Avenue, Bronx, NY 10461-4902 | 2006-09-26 |
| 1689775488 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 195 Main Road Route 25, Mattituck, NY 11952 | 2006-09-26 |
| 1326149154 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 369 Little East Neck Road, West Babylon, NY 11704-7705 | 2006-09-26 |
| 1598866303 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 700 43 Patchogue Yaphank Road, Medford, NY 11763 | 2006-09-26 |
| 1366542714 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2125 Broadway, Long Island City, NY 11106-4532 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Genovese Drug Stores Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Street Address |
2799 ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225076722 | Jay Iype | Pediatrics | 2799 Route 112, Suite #11, Medford, NY 11763 | 2006-06-04 |
| 1376181214 | Jessica Chandhok | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2019-12-10 |
| 1093239790 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2799 Route 112, Medford, NY 11763-2535 | 2017-08-03 |
| 1528373081 | Elizabeth A. Milia | Optometrist | 2799 Route 112, Suite 21a, Medford, NY 11763-2535 | 2010-08-09 |
| 1457678906 | Lauren Elizabeth Ng | Pediatrics | 2799 Route 112, Suite 11, Medford, NY 11763-2535 | 2010-04-23 |
| 1336462852 | Badrud D Shaikh | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2010-03-11 |
| 1982889168 | John Desimone | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2008-01-07 |
| 1235310418 | Tithiporn Premaskul | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-16 |
| 1073793352 | Gabriel Esteban Rodriguez | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-05 |
| 1275667339 | Noreen Lagman | Physical Therapist | 2799 Route 112, Suite 5, Medford, NY 11763-2535 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| 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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| 1902168289 | Medford Family Pharmacy LLC | Pharmacy | 103 Old Marlton Pike Ste 123, Medford, NJ 08055-8772 | 2012-06-12 |
| 1205043387 | Walgreen Co | Pharmacy | 210 E Barnett Rd, Medford, OR 97501-7928 | 2007-05-17 |
| 1285717520 | New Jersey Cvs Pharmacy LLC | Pharmacy | 137 Route 70, Medford, NJ 08055-2378 | 2006-10-23 |
| 1598864944 | Cvs Pharmacy Inc | Pharmacy | 590 Fellsway, Medford, MA 02155-4925 | 2006-09-22 |
| 1124127576 | Cvs Pharmacy Inc | Pharmacy | 55 Riverside Ave, Medford, MA 02155-4605 | 2006-09-22 |
| 1780781625 | Medford Pharmacy Group LLC | Pharmacy | 2355 W Main St, Medford, OR 97501 | 2006-09-20 |
| 1669576427 | Cvs Albany LLC | Pharmacy | 1565 Route 112, Medford, NY 11763-3647 | 2006-09-12 |
| 1548375322 | Medford Shoprite, Inc. | Pharmacy | 208 Route 70, Medford, NJ 08055-9522 | 2006-08-20 |
| 1518998079 | Walgreen Co | Pharmacy | 49 Station Lndg, Medford, MA 02155-5192 | 2006-07-05 |
| Find all providers in MEDFORD | ||||
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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.