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General NPI Number Information
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NPI Number | 1922379809
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Entity Type | Organization
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Legal Business Name | BELLE MEAD PHARMACY INC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 196 N BELLE MEAD RD STE 8 UNIT 8
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3477
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Country | US
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Telephone | 631-444-0784
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Fax | 631-689-2209
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Provider Business Mailing Address
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Address Line | 196 BELLE MEAD ROAD UNIT 8
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-444-0784
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Fax | 631-689-2209
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | RUBY MASSON
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Credential | RPH
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Telephone | 631-444-0784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 031021
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License Number State | NY
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