South Park Pharmacy is an authorized DME supplier for medicare equipments and products.
South Park Pharmacy is a Community/Retail Pharmacy in Lackawanna, New York. This pharmacy is owned and operated by South Park Pharmacy Llc. It is located at 2707 S Park Ave, Lackawanna and it's customer support contact number is 716-823-0440. The authorized person of South Park Pharmacy is Shawn Shelton, RPH who is Owner/pic/ao of the pharmacy and his contact number is 716-823-0440. Active license number of South Park Pharmacy is 028253 for Community/Retail Pharmacy in New York. South Park Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. South Park Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
South Park Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
South Park Pharmacy
Type:
Community/Retail Pharmacy
Location:
2707 S Park Ave, Lackawanna, New York, 14218-1511
Phone:
716-823-0440
Fax:
716-823-0444
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Shawn Shelton
Credentials:
RPH
Position:
Owner/pic/ao
Contact Number:
716-823-0440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1922135763
NPI Enumeration Date:
28 Feb, 2007
NPI Last Update On:
21 Apr, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Park Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
028253
New York
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2068947
Other
Pk
02885981
Medicaid
New York
Medicare Enrollment:
South Park Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5698970952
O20100930062042
South Park Pharmacy Llc
DME SUPPLIER - PHARMACY
5698970952
O20130313000271
South Park Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
South Park Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Orthoses: Off-the-shelf
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2707 S Park Ave, Lackawanna, New York
Zip:
14218-1511
Phone Number:
716-823-0440
Fax Number:
716-823-0444
Patients can reach South Park Pharmacy at 2707 S Park Ave, Lackawanna, New York or can call on customer care at 716-823-0440.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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