Provider Demographics
NPI:1538319108
Name:SCHEINER, BARRY A (RPH)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:A
Last Name:SCHEINER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1542
Mailing Address - Country:US
Mailing Address - Phone:631-348-2558
Mailing Address - Fax:631-348-7319
Practice Address - Street 1:1730 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1542
Practice Address - Country:US
Practice Address - Phone:631-348-2558
Practice Address - Fax:631-348-7319
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01299843Medicaid