Our commitment
Village Pharmacy of Syosset is required by the Health Insurance Portability and Accountability Act (HIPAA) and New York State law to maintain the privacy of your protected health information ("PHI"), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How we may use and disclose your health information
Treatment
We use your PHI to fill prescriptions and provide pharmacy care, and we may disclose it to physicians, nurses, other pharmacies, and healthcare providers involved in your care — for example, contacting your prescriber about a drug interaction or a refill authorization.
Payment
We may use and disclose PHI to obtain payment for the services we provide — for example, submitting claims to your health plan or pharmacy benefit manager, verifying coverage, or obtaining prior authorization.
Healthcare operations
We may use PHI for quality assessment, staff training and evaluation, licensing, accreditation, business planning, and general pharmacy administration.
Appointment, refill, and pickup reminders
We may contact you by phone, text message, mail, or email to remind you about refills, deliveries, immunizations, or prescriptions ready for pickup.
Individuals involved in your care
We may disclose PHI to a family member, caregiver, or another person you identify who is involved in your care or who is picking up a prescription on your behalf, limited to the information relevant to that involvement.
Health-related products and services
We may tell you about health-related products, services, or programs — such as adherence packaging, immunizations, or Medicare plan reviews — that may benefit you.
Uses and disclosures permitted without your authorization
- When required by federal, state, or local law
- Public health activities, including immunization registry reporting and adverse drug event reporting to the FDA
- Reporting suspected abuse, neglect, or domestic violence
- Health oversight activities such as audits, inspections, and licensure investigations
- Judicial and administrative proceedings, in response to a court order or lawful subpoena
- Law enforcement purposes as permitted by law
- To coroners, medical examiners, and funeral directors
- Organ, eye, or tissue donation
- Research approved by an institutional review board or privacy board
- To avert a serious and imminent threat to health or safety
- Workers' compensation as authorized by law
- Specialized government functions, including military and national security activities
Uses and disclosures that require your written authorization
Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and any sale of PHI require your written authorization. You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.
Your rights regarding your health information
- Right to inspect and copy. You may request access to your pharmacy records, including an electronic copy where readily producible. We may charge a reasonable cost-based fee.
- Right to amend. You may ask us to correct PHI you believe is inaccurate or incomplete. We may deny the request in certain circumstances and will explain why in writing.
- Right to an accounting of disclosures. You may request a list of certain disclosures we made in the six years prior to your request.
- Right to request restrictions. You may ask us to limit how we use or disclose PHI. We are not required to agree, except that we must agree to withhold information from your health plan for a service you paid for entirely out of pocket.
- Right to confidential communications. You may ask us to contact you at a specific phone number or address.
- Right to a paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Right to breach notification. We will notify you if a breach occurs that may have compromised the privacy or security of your PHI.
Our responsibilities
We are required to maintain the privacy of your PHI, to provide you with this notice, to abide by its terms, and to notify you following a breach of unsecured PHI. We reserve the right to change this notice and to make the revised notice effective for all PHI we maintain. A current copy is always posted here and available in the pharmacy.
How to exercise your rights or file a complaint
To exercise any right described above, or to file a complaint, contact our Privacy Officer:
Village Pharmacy of Syosset — Privacy Officer
38 Cold Spring Rd, Syosset, NY 11791
Phone: (516) 921-0880
Email: villagepharmrx@gmail.com
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201. You will not be penalized or retaliated against for filing a complaint.