# ONCOMED SPECIALTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134517352
- **Authorized official:** THOMAS A CANERIS (VICE PRESIDENT)
- **Authorized official phone:** (502) 627-7100

## Contact information

- **Practice address:** 225 COMMUNITY DR, STE 100, GREAT NECK, NY 11021-5503
- **Practice address phone:** (516) 869-0920
- **Practice address fax:** (516) 439-4266
- **Mailing address:** 1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
- **Mailing address phone:** (502) 627-7100
- **Mailing address fax:** (855) 217-7498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014