Provider Demographics
NPI:1588776223
Name:BARTHS PHARMACY INC.
Entity type:Organization
Organization Name:BARTHS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:CASSARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-288-4345
Mailing Address - Street 1:58 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-2326
Mailing Address - Country:US
Mailing Address - Phone:631-288-4345
Mailing Address - Fax:
Practice Address - Street 1:58 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2326
Practice Address - Country:US
Practice Address - Phone:631-288-4345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0267733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02588094Medicaid
NY1912018904OtherNPI LOUIS VINCENT CASSARA
NY02588094Medicaid