1396073060 NPI number — NACSIP INC

Table of content: (NPI 1396073060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396073060 NPI number — NACSIP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NACSIP INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAKE MAHOPAC PHARMACY & SURGICAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396073060
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
559 ROUTE 6
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAHOPAC
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10541-4712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-208-0424
Provider Business Mailing Address Fax Number:
845-208-0425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
559 ROUTE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAHOPAC
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10541-4712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-208-0424
Provider Business Practice Location Address Fax Number:
845-208-0425
Provider Enumeration Date:
11/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
WISSA
Authorized Official First Name:
NAGI
Authorized Official Middle Name:
Authorized Official Title or Position:
R.PH,CEO
Authorized Official Telephone Number:
845-208-0424

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  029930 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3364116 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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