MEDICARE: SYDNEY SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	065870	NY

General Provider Information

NPI Number	:	1962164764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY SMITH

Provider Business Mailing Address
First Line	:	99 TALLMADGE TRL
Second Line	:
City	:	MILLER PLACE
State	:	NY
Zip	:	11764-2327
Country	:	US
Telephone Number	:	516-528-7040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 ROUTE 112
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763-1404
Country	:	US
Telephone Number	:	516-528-7040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	11/01/2021

Similar Medicare Providers

1790067106 — WALGREEN CO
Practice Location Address:

2850 ROUTE 112
MEDFORD, NY
11763-1404

Practice Phone: 631-696-4018
Practice Fax: 631-696-4074

1396054474 — DR. EUNAH TODARELLO
Practice Location Address:

2850 ROUTE 112
MEDFORD, NY
11763-1404

Practice Phone: 631-696-4018
Practice Fax: 631-696-4074

1649671124 — JESSIE LOREN COVIELLO CPHT
Practice Location Address:

2850 ROUTE 112
MEDFORD, NY
11763-1404

Practice Phone: 631-696-4018
Practice Fax: 631-696-4074

1619426830 — DANIEL SHIN PHARM.D
Practice Location Address:

2850 ROUTE 112
MEDFORD, NY
11763-1404

Practice Phone: 631-696-4018
Practice Fax: 631-696-4074

1629994660 — JANYA HAZZARD-ANGEVINE
Practice Location Address:

20 NARRAGANSETT AVE
MEDFORD, NY
11763-4323

Practice Phone: 631-448-1812
Practice Fax:

1720093875 — WALGREEN CO
Practice Location Address:

1580 ROUTE 112
MEDFORD, NY
11763-3655

Practice Phone: 631-207-9234
Practice Fax:

Directions to “ SYDNEY SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.