102 Center Care Pharmacy Inc
NPI 1679260855ActiveOrganization· Pharmacy· Corona, NY
Pharmacy in Corona, New York, registered in NPPES in April 2023. The authorized official on file is Miguel Angel Baron, RPH, Owner/Pharmacist. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1679260855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2023 |
| Last updated in NPPES | Apr 19, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | Listed (NPI) | Excluded · since Oct 28, 2026 · NY |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Pharmacy (NY) |
|---|
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