Southshore Pharmacy Corp.
NPI 1417183518ActiveOrganization· Pharmacy· Staten Island, NY
Pharmacy in Staten Island, New York, registered in NPPES in June 2009. The authorized official on file is Mariya N. Braginsky, RPH, Pic/Owner.
Overview
| NPI | 1417183518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2009 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 029457 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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