Southshore Pharmacy Corp.
NPI 1417183518 · Pharmacy · Staten Island, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southshore Pharmacy Corp. is a Pharmacy organization in Staten Island, NY (NPI 1417183518).
Provider details
- NPI number
- 1417183518
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mariya Braginsky, Pic/Owner(718) 948-4848
- License
- 029457 (NY)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-03
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Frequently asked questions
- What is Southshore Pharmacy Corp.'s NPI number?
- Southshore Pharmacy Corp.'s National Provider Identifier (NPI) is 1417183518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southshore Pharmacy Corp.?
- Southshore Pharmacy Corp. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Southshore Pharmacy Corp. located?
- Southshore Pharmacy Corp.'s practice location on file with NPPES is 4020 Hylan Blvd, Staten Island, NY 10308-3331.
- What is Southshore Pharmacy Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Southshore Pharmacy Corp. is (718) 948-4848.
- Does Southshore Pharmacy Corp. accept Medicare?
- Southshore Pharmacy Corp. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southshore Pharmacy Corp.?
- The authorized official listed on Southshore Pharmacy Corp.'s NPPES record is Mariya Braginsky, Pic/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southshore Pharmacy Corp.'s NPI active?
- Yes — Southshore Pharmacy Corp.'s NPI (1417183518) is active in the NPPES registry as of the last update on 2021-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.