Island Park Pharmacy Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ISLAND PARK PHARMACY CORP.

Practice address

114 Long Beach Rd
Island Park, NY 11558-1439

Phone

(516) 208-6698

Fax

(516) 208-6697

NPI assigned

Jul 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilhom Ismailov

Title

Owner

Phone

(516) 208-6698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brianna Obas, PHARMD

  • Pharmacist
  • Island Park, NY
  • NPI 1407650252
  NPD
• Darlene Ruzicka, PHARMD

  • Pharmacist
  • Lynbrook, NY
  • NPI 1720300858
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1003596040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581439",
            "telephone_number": "516-208-6698",
            "fax_number": "516-208-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581439",
            "telephone_number": "516-208-6698",
            "fax_number": "516-208-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PARK PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "ISMAILOV",
        "authorized_official_first_name": "ILHOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-208-6698"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Gruener, DPT
• Anita Antonia Gulic, DC
• Jennifer Hardatt
• Lizette Hinojosa, DDS
• Kimberly Howard
• Island Park Ufsd
• Christina Kellen, L.AC.
• Lisa Spencer Kirschner, R.N.
• Leap Applied Behavior Analysis Therapy P.C.
• Monica Michelle Livia, LPN

• Community/Retail Pharmacy in Island Park, NY
• Providers in Island Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.