Southshore Pharmacy Corp.
Pharmacy
4020 Hylan Blvd, Staten Island
New York, 10308-3331
718-948-4848 718-948-4899
Southshore Pharmacy Corp. is a Pharmacy in Staten Island, New York. It is located at 4020 Hylan Blvd, Staten Island and it's customer support contact number is 718-948-4848. The authorized person of Southshore Pharmacy Corp. is Dr. Mariya N Braginsky, RPH who is Pic/owner of the pharmacy and his contact number is 718-948-4848. Active license number of Southshore Pharmacy Corp. is 029457 for Pharmacy in New York. Southshore Pharmacy Corp. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southshore Pharmacy Corp. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Southshore Pharmacy Corp. 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: | Southshore Pharmacy Corp. |
| Type: | Pharmacy |
| Location: | 4020 Hylan Blvd, Staten Island,
New York, 10308-3331 |
| Phone: | 718-948-4848 |
| Fax: | 718-948-4899 |
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: | Dr. Mariya N Braginsky |
| Credentials: | RPH |
| Position: | Pic/owner |
| Contact Number: | 718-948-4848 |
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: | 1417183518 |
| NPI Enumeration Date: | 03 Jun, 2009 |
| NPI Last Update On: | 27 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southshore Pharmacy Corp. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 029457 | New York | Primary | |
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 |
| 03132134 | Medicaid | New York | |
Medicare Enrollment:
Southshore Pharmacy Corp. 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 |
| 0840480778 | O20100930045955 | Southshore Pharmacy,corp | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4020 Hylan Blvd,
Staten Island, New York |
| Zip: | 10308-3331 |
| Phone Number: | 718-948-4848 |
| Fax Number: | 718-948-4899 |
Patients can reach Southshore Pharmacy Corp. at
4020 Hylan Blvd, Staten Island, New York or can
call on customer care at 718-948-4848.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.