Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southshore Pharmacy Corp

Organization Pharmacy · NPI 1417183518

Southshore Pharmacy Corp is a Pharmacy in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4020 Hylan Blvd
Staten Island, NY 10308-3331
Phone: (718) 948-4848
Fax: (718) 948-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 029457 (NY)

Record details

NPI number1417183518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariya Braginsky — Pic/Owner · (718) 948-4848
NPI enumeratedJune 3, 2009
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address4020 Hylan Blvd, Staten Island, NY 10308-3331

Other providers in Staten Island