IndividualActive
Alice Shao, PHARMD
NPI 1063399772 · Pharmacist · Mineola, NY
Provider details
- NPI number
- 1063399772
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 072903 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-9660
Approximate (ZIP-level) locationGet directions
Mailing address
21946 64th Ave Apt C
Bayside, NY 11364-2273
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-08-18
- Certified
- 2025-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.