HIPAA NOTICE OF PRIVACY PRACTICES South Station Pharmacy Effective Date: January 1, 2026 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. OUR COMMITMENT TO YOUR PRIVACY South Station Pharmacy understands that your health information is personal and private. We are committed to protecting your Protected Health Information (PHI). This Notice explains: • How we may use and disclose your health information • Your rights regarding your health information • Our responsibilities to protect your privacy PHI includes information such as: • Prescription records • Medication history • Insurance and billing information • Personal identifiers such as name, address, or date of birth HOW WE MAY USE AND SHARE YOUR HEALTH INFORMATION Federal law allows us to use and disclose your health information without written authorization in the following situations. Treatment We may use and share your health information to provide pharmacy services and coordinate your care. Examples include: • Reviewing your medication history for safety • Communicating with your prescribing physician or healthcare provider • Counseling you about medications and possible side effects Payment We may use and disclose your information to obtain payment for pharmacy services. Examples include: • Billing your insurance provider or pharmacy benefit manager • Processing pharmacy claims • Collecting payment for prescriptions or services Health Care Operations We may use your information to operate and improve our pharmacy services. Examples include: • Quality assurance and safety reviews • Staff training and credentialing • Licensing and regulatory compliance OTHER SITUATIONS WHERE WE MAY SHARE INFORMATION We may disclose health information when required or permitted by law, including: Public Health and Safety To report information to public health authorities regarding disease control, medication recalls, or adverse drug reactions. Health Oversight To government agencies responsible for overseeing the healthcare system. Law Enforcement When required by court orders, subpoenas, or other legal processes. Judicial or Administrative Proceedings In response to lawful requests from courts or administrative agencies. Serious Threats to Health or Safety To prevent or reduce a serious threat to the health or safety of a person or the public. Workers’ Compensation To comply with workers’ compensation laws and similar programs. USES THAT REQUIRE YOUR WRITTEN PERMISSION We will obtain your written authorization before using or disclosing your health information for: • Most marketing purposes • The sale of your health information • Certain uses not otherwise permitted by law You may revoke your authorization at any time in writing. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION You have several rights regarding your health information. Access Your Records You may request to inspect or receive a copy of your pharmacy or billing records. Request Corrections You may request that we correct information you believe is incorrect or incomplete. Request Confidential Communications You may ask us to contact you in a specific way or at a specific location. Request Restrictions You may ask us not to share certain information for treatment, payment, or operations. Request an Accounting of Disclosures You may request a list of certain disclosures we have made of your health information. Obtain a Copy of This Notice You may request a paper copy of this notice at any time. Appoint Someone to Act on Your Behalf If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights. OUR RESPONSIBILITIES South Station Pharmacy is required by law to: • Maintain the privacy and security of your health information • Provide you with this Notice of Privacy Practices • Notify you if a breach occurs that may compromise your information • Follow the terms of this notice currently in effect We reserve the right to change the terms of this notice and apply the changes to all health information we maintain. Any updated notices will be available at our pharmacy and on our website. COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with us. Privacy Officer South Station Pharmacy 26 S. Station Plaza Great Neck, NY 11021 Phone: 516-708-1300 Email: 26ssrx@gmail.com You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at https://www.hhs.gov/ocr You will not be penalized for filing a complaint. CONTACT INFORMATION Privacy Officer South Station Pharmacy 26 S. Station Plaza Great Neck, NY 11021 Phone: 516-708-1300 Email: 26ssrx@gmail.com