Healthcare Provider Details

I. General information

NPI: 1861270928
Provider Name (Legal Business Name): ST. CHARLES HOSPITAL AND REHABILITATION CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 MIDDLE COUNTRY RD # P100
CENTEREACH NY
11720-3519
US

IV. Provider business mailing address

2112 MIDDLE COUNTRY RD # P100
CENTEREACH NY
11720-3519
US

V. Phone/Fax

Practice location:
  • Phone: 631-468-6910
  • Fax:
Mailing address:
  • Phone: 631-468-6910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NASSER N SAAD
Title or Position: VP PHARMACY
Credential:
Phone: 646-441-8755