EMBLEMHEALTH SERVICES COMPANY (NPI# 1942429253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942429253 |
| Entity Type | Organization |
| Organization Name | EMBLEMHEALTH SERVICES COMPANY |
| Other Organization Name | EMBLEMHEALTH PHARMACY |
| Practice Address |
4771 Hylan Blvd Staten Island NY 10312-6315 |
| Mailing Address |
Po Box 5228 New York NY 10087-5228 |
| Practice Telephone | 7189488290 |
| Practice Fax Number | 7189668293 |
| Mailing Telephone | 6464470372 |
| Mailing Fax Number | 2125105372 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RODGER ROSICKI (DIRECTOR CORPORATE PHARMACY PROGRAM) |
| Authorized Official Telephone | 6464471204 |
| 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 |
020735 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2066803 | 01 | |
| NY | 01241501 | 05 |
| Other Name | Type Code |
|---|---|
| EmblemHealth Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306065610 | Emblemhealth Services Company | Pharmacy | 96 10 Metropolitan Ave, Forest Hills, NY 11375 | 2007-04-25 |
| 1720206923 | Emblemhealth Services Company | Pharmacy | 86 15 Queens Blvd, Elmhurst, NY 11373-4497 | 2007-04-23 |
| 1639397896 | Emblemhealth Services Company | Pharmacy | 180 05 Hillside Ave, Jamaica, NY 11432-4727 | 2007-04-23 |
| 1881147924 | Emblemhealth Services Company | Pharmacy | 52 Duane St, New York, NY 10007-1207 | 2016-07-25 |
| 1851510168 | Emblemhealth Services Company | Pharmacy | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2007-04-25 |
| 1689893992 | Emblemhealth Services Company | Pharmacy | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2007-04-25 |
| 1124247432 | Emblemhealth Services Company | Pharmacy | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 2007-04-25 |
| 1306064795 | Emblemhealth Services Company | Pharmacy | 226 Clinton St, Hempstead, NY 11550-2614 | 2007-04-23 |
| 1568680668 | Emblemhealth Services Company | Pharmacy | 215 E 95th St, New York, NY 10128-4077 | 2007-04-23 |
| 1710105184 | Emblemhealth Services Company | Pharmacy | 300 Bay Shore Rd, North Babylon, NY 11703-2823 | 2007-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EMBLEMHEALTH SERVICES COMPANY, LLC | 55 Water Street, New York, Ny 10041 |
| Street Address |
4771 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427017391 | Steven Richard Banat | Psychiatry & Neurology | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2006-03-20 |
| 1518526839 | Liliya Rozenfeld | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2019-06-10 |
| 1184179111 | Maria Civille | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2016-08-19 |
| 1013384106 | Kristin Frances Langford | Physician Assistant | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-08-25 |
| 1205202769 | Brinda Swaminarayan | Physical Therapist | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-08-18 |
| 1174906325 | Susan Ann Colford-castano | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-07-07 |
| 1144636713 | James Steven Cohen | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2014-07-03 |
| 1801140983 | Alexandra Lorraine Hoffmann-steiman | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-10-29 |
| 1396090411 | Igor Giterman | Family Medicine | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-07-14 |
| 1407116551 | Imran Khalid | Internal Medicine | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1902414048 | Fresh Rx LLC | Pharmacy | 436 Nome Ave, Staten Island, NY 10314-6039 | 2020-07-15 |
| 1013547629 | Sunning Pharmacy Inc. | Pharmacy | 1836 Hylan Blvd Ste B, Staten Island, NY 10305-1935 | 2020-01-22 |
| 1780221879 | Nile Care Pharma Corp. | Pharmacy | 1509 Hylan Blvd, Staten Island, NY 10305-1907 | 2019-12-08 |
| 1295377760 | Rx Box Pharmacy Corp. | Pharmacy | 3265 Richmond Ave, Staten Island, NY 10312-2123 | 2019-10-16 |
| 1174088348 | H&r Nyc Pharmaceutical LLC | Pharmacy | 1265 Clove Rd # Storee, Staten Island, NY 10301-4339 | 2019-02-01 |
| 1013488121 | Michael Michail | Pharmacy | 36 Prices Ln, Staten Island, NY 10314-4618 | 2018-12-16 |
| 1841616208 | Ibram Pharmacy Inc | Pharmacy | 1756 Hylan Blvd, Staten Island, NY 10305-1932 | 2014-03-10 |
| 1912258807 | Victory Family Pharmacy, LLC | Pharmacy | 1975 Victory Blvd Ste A, Staten Island, NY 10314-3536 | 2012-10-02 |
| 1356609143 | New Dorp Pharmacy Corp | Pharmacy | 62 New Dorp Plz, Staten Island, NY 10306-2920 | 2012-04-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.