GENOVESE DRUG STORES INC (NPI# 1689775488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689775488 |
| Entity Type | Organization |
| Organization Name | GENOVESE DRUG STORES INC |
| Other Organization Name | RITE AID PHARMACY 10670 |
| Practice Address |
195 Main Road Route 25 Mattituck NY 11952 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6312985601 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER OL 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 |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3389081 | 01 | |
| NY | MEDICAID DME | 01016540 | 01 |
| NY | 01016540 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 10670 | 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 |
| 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 |
| 1184724536 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 3601 Broadway, Astoria, NY 11106-1045 | 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 |
195 MAIN ROAD ROUTE 25 |
| City | MATTITUCK |
| State | NY |
| Zip Code | 11952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
| 1124391123 | Richard A Relyea | Registered Nurse | 575 Westview Drive, Mattituck, NY 11952 | 2012-02-22 |
| 1336311877 | Kristin Donato | Pharmacist | 195 Main Road, Mattituck, NY 11952 | 2008-03-25 |
| 1598941429 | Louis Melissari | Pharmacist | 195 Main Rd., Mattituck, NY 11952 | 2008-01-10 |
| 1679757827 | Elizabeth Vaccaro | Pharmacist | 195 Main Rd, Mattituck, NY 11952 | 2007-12-24 |
| 1396946844 | North Fork Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 55 Sound Avenue, Mattituck, NY 11952 | 2007-05-31 |
| 1437369196 | Viola Quintero | Social Worker | 11700 Main Rd, Mattituck, NY 11952 | 2007-05-23 |
| 1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
| 1336264092 | Jeanine Marie Warns | Social Worker | 13235 Main Rd, Mattituck, NY 11952 | 2007-03-20 |
| 1548306103 | Caroline Valenta Gatewood | Psychiatry & Neurology | 7555 Main Rd., Mattituck, NY 11952 | 2007-01-30 |
| Find all providers in zip 11952 | ||||
| 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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| 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 | ||||
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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.