MILL PARK DRUGS INC
NPI 1669971172
Pharmacy - Compounding Pharmacy in Staten Island, NY

NPI Status: Active since February 09, 2018

Contact Information

3948 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 356-1789
Fax: (718) 356-1777

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  • Organization
  • Pharmacy
  • Compounding Pharmacy
  • CLIA Number: 33D1086276
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 08-11-2026

About MILL PARK DRUGS INC

This page provides the complete NPI Profile along with additional information for Mill Park Drugs Inc, a provider established in Staten Island, New York operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1669971172 assigned on February 2018. The practitioner's primary taxonomy code is 3336C0004X with license number 036468 (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's Eltingville Pharmacy Toys & Gifts. The authorized official of this NPI record is Silvana Mattioli (Owner/ao)

NPI
1669971172
Provider Legal Name
MILL PARK DRUGS INC
Other Organization Name
ELTINGVILLE PHARMACY TOYS & GIFTS
Other Name Type
(0)
Entity Type
Organization
Location Address
3948 RICHMOND AVE STATEN ISLAND, NY 10312
Location Phone
(718) 356-1789
Location Fax
(718) 356-1777
Mailing Address
3948 RICHMOND AVE STATEN ISLAND, NY 10312
Mailing Phone
(718) 356-1789
Mailing Fax
(718) 356-1777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2018
Last Update Date
04-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
036468
License State
NY
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SILVANA MATTIOLI

Authorized Official Title
OWNER/AO
Authorized Official Phone
(718) 356-1789

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00337471MEDICAID (05)NY 
2176079OTHER (01)PK

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D1086276
Facility Type
Other - URGENT CARE
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
DR. ALVIN H. GOLDBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mill Park Drugs Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MILL PARK DRUGS INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669971172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291872114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 8 + 7 + 2 + 1 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1669971172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003139544MR. MICHAEL ARNOLD FOX RPH
Individual
Pharmacist3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1275857260MR. LEON STEWART RPH
Individual
Pharmacist3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1033433917MR. ANTHONY BERARDI R.PH.
Individual
Pharmacist3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1679676159MILL PARK DRUGS INC
Organization
Pharmacy3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1023624749 MARIA SUSAN DUN
Individual
Pharmacist3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1851749014 VLAD SEREBRYANY
Individual
Pharmacist3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789
1669214250RX HERO INC.
Organization
Pharmacy (Community/Retail Pharmacy)3948 RICHMOND AVE
STATEN ISLAND, NY 10312
(718) 356-1789

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669971172, enumerated in the NPI registry as an "organization" on February 09, 2018

The provider is located at 3948 Richmond Ave Staten Island, Ny 10312 and the phone number is (718) 356-1789

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D1086276 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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