PEG APOTHECARY INC (NPI# 1770678666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770678666 |
| Entity Type | Organization |
| Organization Name | PEG APOTHECARY INC |
| Other Organization Name | EMERALD PHARMACY |
| Practice Address |
4295 Katonah Ave Bronx NY 10470 |
| Practice Telephone | 7189440862 |
| Practice Fax Number | 7189440864 |
| Mailing Telephone | 7189440862 |
| Mailing Fax Number | 7189440864 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM SHAWN NEALIS (PRESIDENT) |
| Authorized Official Telephone | 7189440862 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047516 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NABP | 3325835 | 01 |
| NY | NYS PHARMACY LIC | 025341 | 01 |
| NY | DEA # | BP7790757 | 01 |
| NY | 00290857 | 05 |
| Other Name | Type Code |
|---|---|
| Emerald Pharmacy | Doing Business As Name - Organization |
| Street Address |
4295 KATONAH AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023331485 | William Shawn Nealis | Pharmacist | 4295 Katonah Ave, Bronx, NY 10470-2015 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088850 | Veronica Lonati | Registered Nurse | 4250 Van Cortland Avenue Park East, Bronx, NY 10470 | 2019-02-06 |
| 1336625011 | Carefirst Pharmacy Services Inc | Pharmacy | 4649-4653 White Plains Road, Bronx, NY 10470 | 2018-07-16 |
| 1043740095 | Dana George | Registered Nurse | 4509 Carpenter Avenue, Bronx, NY 10470 | 2017-06-13 |
| 1356877799 | Kristoffer Leonard Castro | Physical Therapist | 552 East 240th St, Bronx, NY 10470 | 2017-05-04 |
| 1851748032 | Dorothy Avery Saunders-smith | Registered Nurse | 4401 Bronx Blvd., Bronx, NY 10470 | 2016-05-18 |
| 1811343981 | Nadine Brown-vassell | Licensed Practical Nurse | 4756 Richardson Avenue, Bronx, NY 10470 | 2016-05-09 |
| 1700230505 | Aminat Adetoun Akintola | Registered Nurse | 801 E 214st Street, Bronx, NY 10470 | 2016-04-18 |
| 1306200134 | Yanisse Toure | Licensed Practical Nurse | 801 East 241 Street, Bronx, NY 10470 | 2016-04-07 |
| 1083077804 | Christelle Bakayoko I | Licensed Practical Nurse | 801 E 241st Street, Bronx, NY 10470 | 2016-03-30 |
| 1174984991 | Sharon Siaw | Registered Nurse | 801-815 E 241st Street, Bronx, NY 10470 | 2016-03-08 |
| Find all providers in zip 10470 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332336 | Richard Sedzi | Pharmacist | 2161 Barnes Ave Apt 3k, Bronx, NY 10462-1917 | 2020-10-01 |
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1932721131 | Borukh Aminov | Pharmacist | 720 E Tremont Ave, Bronx, NY 10457-5002 | 2020-05-11 |
| 1215558150 | Chaz Dagnino | Pharmacist | 655 Morris Ave Ste 2, Bronx, NY 10451-4898 | 2020-05-01 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1952969594 | Ejike Chukwukere | Pharmacist | 74 Van Cortlandt Park S # 6cc11, Bronx, NY 10463-3003 | 2019-05-29 |
| 1659839140 | Idan Levi | Pharmacist | 2334 Washington Ave, Bronx, NY 10458-7714 | 2019-03-04 |
| 1548727480 | Jaime Deepak Patel | Pharmacist | 763 Allerton Ave, Bronx, NY 10467-8818 | 2019-02-27 |
| 1679030118 | Mark Boris Bailey | Pharmacist | 2510 Westchester Ave Ste 207, Bronx, NY 10461-3585 | 2019-02-20 |
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| Find all providers in BRONX | ||||
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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.