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General NPI Number Information
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NPI Number | 1366338469
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Entity Type | Organization
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Legal Business Name | LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC.
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 40 MELVILLE PARK RD UNIT ONE
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City | MELVILLE
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State | NY
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Zip | 11747-3173
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Country | US
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Telephone | 833-898-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 1983 MARCUS AVE STE 118
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1016
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Country | US
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Telephone | 833-898-8486
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Fax |
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Authorized Official
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Title or Position | SVP, CHIEF EXPENSE OFFICER
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Name | DONNA DRUMMOND
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Credential |
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Telephone | 833-898-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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