Sand Lane Pharmacy
NPI 1063401651ActiveOrganization· Pharmacist· Staten Island, NY
Pharmacist in Staten Island, New York, registered in NPPES in October 2005. The authorized official on file is Boris Natenzon, RPH, Vice President.
Overview
| NPI | 1063401651 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 025486 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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