Healthcare Provider Details
I. General information
NPI: 1700848660
Provider Name (Legal Business Name): SHARP DRUGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2006
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 MONIEBOGUE LN SUITE C
WESTHAMPTON BEACH NY
11978-2613
US
IV. Provider business mailing address
PO BOX 244
SPEONK NY
11972-0244
US
V. Phone/Fax
- Phone: 631-289-6223
- Fax: 631-289-7473
- Phone: 631-289-6223
- Fax: 631-289-7473
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | 016876 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 016876 |
| License Number State | NY |
VIII. Authorized Official
Name:
JOSEPH
PIERRO
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 631-289-6223