MEDICARE: WHALERS APOTHECARY INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	033916	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2155007	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649646498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHALERS APOTHECARY INC

Provider Business Mailing Address
First Line	:	120 MAIN ST
Second Line	:	P.O. BOX 1050
City	:	SAG HARBOR
State	:	NY
Zip	:	11963
Country	:	US
Telephone Number	:	631-725-0074
Fax Number	:	631-725-8672

Provider Business Practice Location Address
First Line	:	120 MAIN ST
Second Line	:
City	:	SAG HARBOR
State	:	NY
Zip	:	11963-3007
Country	:	US
Telephone Number	:	631-725-0074
Fax Number	:	631-725-8672

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY YOHAI
Credential	:
Telephone Number	:	631-725-0074

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	09/19/2025

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Directions to “WHALERS APOTHECARY INC ” Practice Location

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