<Unavail>

LBN: Spages Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 471 Lake Ave , Saint James NY 11780-2209. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Spages Pharmacy Inc can be contacted via phone (631) 584-6460, or through Venigalla, Sambasiva via phone (631) 584-6460.

Contact Information

Primary practice address
471 Lake Ave Saint James NY 11780-2209
Phone: (631) 584-6460
Fax: (631) 584-3478
Website:
Map and Directions
Authorized official contact:
Name: Venigalla, Sambasiva RPH
Phone: (631) 584-6460

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 029895 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1417015306
LBN Legal business name Spages Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Venigalla, Sambasiva RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Apr 5th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417015306 NPPES
Other 2123717 PK
MEDICAID 03178498 PK

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