Provider Demographics
NPI:1700848660
Name:SHARP DRUGS, INC
Entity Type:Organization
Organization Name:SHARP DRUGS, INC
Other - Org Name:ISLAND DRUG AND SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:631-289-6223
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:SPEONK
Mailing Address - State:NY
Mailing Address - Zip Code:11972-0244
Mailing Address - Country:US
Mailing Address - Phone:631-289-6223
Mailing Address - Fax:631-289-7473
Practice Address - Street 1:8 MONIEBOGUE LN
Practice Address - Street 2:SUITE C
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2613
Practice Address - Country:US
Practice Address - Phone:631-289-6223
Practice Address - Fax:631-289-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY016876333600000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3370195OtherNABP
NY00631934Medicaid
NY00631934Medicaid