Provider Demographics
NPI:1366338469
Name:LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC.
Entity type:Organization
Organization Name:LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, CHIEF EXPENSE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-898-8486
Mailing Address - Street 1:1983 MARCUS AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1016
Mailing Address - Country:US
Mailing Address - Phone:833-898-8486
Mailing Address - Fax:
Practice Address - Street 1:40 MELVILLE PARK RD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3173
Practice Address - Country:US
Practice Address - Phone:833-898-8486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy