Provider Demographics
NPI:1235461997
Name:FLOYD CHEMISTS INC
Entity Type:Organization
Organization Name:FLOYD CHEMISTS INC
Other - Org Name:SHIRLEY PHARMACY AND SURGICALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHABIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-785-0120
Mailing Address - Street 1:353 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4120
Mailing Address - Country:US
Mailing Address - Phone:516-785-0120
Mailing Address - Fax:516-785-0715
Practice Address - Street 1:60 NORTHERN BLVD
Practice Address - Street 2:STORE #4
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-2355
Practice Address - Country:US
Practice Address - Phone:631-281-8101
Practice Address - Fax:631-281-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
NY0299613336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2123735OtherPK
NY3198818Medicaid
6366270001Medicare NSC