Provider Demographics
NPI:1033673934
Name:MCDD CHEMIST INC.
Entity Type:Organization
Organization Name:MCDD CHEMIST INC.
Other - Org Name:TOWN DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CARMINE
Authorized Official - Last Name:PIAMPIANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D CIP
Authorized Official - Phone:631-266-3999
Mailing Address - Street 1:517 LARKFIELD RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4208
Mailing Address - Country:US
Mailing Address - Phone:631-266-3999
Mailing Address - Fax:631-266-3726
Practice Address - Street 1:517 LARKFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4208
Practice Address - Country:US
Practice Address - Phone:631-266-3999
Practice Address - Fax:631-266-3726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05534390Medicaid