Caljeb Pharmacy Corp

Community/Retail Pharmacy · Patchogue, NY

Organization Active NPI

NPI number 1275536864

Practice location

747 Montauk Highway
Patchogue, NY 11772
Phone
(631) 654-2444
Fax
(631) 654-1837

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NPI record

NPI
1275536864
Entity type
Organization (Type 2)
Enumeration date
May 27, 2005
Last updated
March 24, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 016177 NY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X — —
Pharmacy 333600000X — —
Specialty Pharmacy 3336S0011X — —

Authorized official

Name
Patrick Fawcett, MBA
Title
CEO
Phone
(631) 654-2444

Other names

  • Lighthouse Pharmacy

About Caljeb Pharmacy Corp

Caljeb Pharmacy Corp is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 747 Montauk Highway, Patchogue, NY 11772. The NPI number 1275536864 was assigned on May 27, 2005 and the record was last updated on March 24, 2017.

Caljeb Pharmacy Corp lists a license in the registry: #016177 (NY) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Patrick Fawcett, MBA, CEO.

Frequently asked questions

What is the NPI number of Caljeb Pharmacy Corp?

The NPI number is 1275536864.

What is the phone number of Caljeb Pharmacy Corp?

The phone number listed for the practice location is (631) 654-2444.

Where is Caljeb Pharmacy Corp located?

747 Montauk Highway, Patchogue, NY 11772.

What is the taxonomy code for Caljeb Pharmacy Corp?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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