Long Island Jewish Medical Center

Pharmacy, Community/Retail Pharmacy in Glen Oaks, NY. Organization (NPI-2).

NPI number1871024455

StatusActive

Last updated in NPPESDec 29, 2022

Details

NPI: 1871024455
Entity type: Organization (NPI-2)
Legal business name: Long Island Jewish Medical Center
Organization subpart: No
Enumeration date: Mar 24, 2017
Certification date: Dec 29, 2022
Last updated: Dec 29, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · DME SUPPLIER - PHARMACY
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	035154	NY	Yes
333600000X	Pharmacy	–	–
3336S0011X	Pharmacy, Specialty Pharmacy	–	–

Other names

Vivo Health Pharmacy At Zucker Hillside Hospital (Doing Business As)

Practice location

7559 263rd St
Vivo Health Pharmacy At Zucker Hillside Hospital
Glen Oaks, NY 11004-1150

Phone 718-470-5611 · Fax 718-470-5612

Mailing address

1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016

Phone 718-470-5611 · Fax 718-470-5612

Authorized official

Donna Drummond
Svp, Chief Expense Officer
7184705611

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Glen Oaks, NY

All 6 Community/Retail Pharmacy providers in Glen Oaks · All 676 providers in Glen Oaks

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