Organization Active NPI

Greatneck Chemists Inc

  • Long Term Care Pharmacy
  • Farmingdale, NY
National Provider Identifier
1013943737
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
019602 Issued in NY
Legal business name
GREATNECK CHEMISTS INC
Practice address
69 Allen Blvd
Farmingdale, NY 11735-5614
Phone
(516) 482-0004
Fax
(516) 487-8729
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Frank Longo, BS
Title
President
Phone
(516) 482-0004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 019602 NY Primary

Addresses

Primary practice location

69 Allen Blvd
Farmingdale, NY 11735-5614

Mailing address

69 Allen Blvd
Farmingdale, NY 11735-5614
Phone (516) 482-0004

Other identifiers 2

IdentifierTypeStateIssuer
01051674MedicaidNY
2064817OtherPK

Other names 1

  • GREAT NECK CHEMISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041103001112 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1850353590 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmingdale, NY
O20230203001529 NY Part B Supplier - Pharmacy 1850353590 Practice locations: Farmingdale, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

69 Allen Blvd
Farmingdale, NY 11735
Phone (516) 466-7700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1013943737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004",
            "fax_number": "516-487-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004",
            "fax_number": "516-487-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATNECK CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-482-0004",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "019602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051674",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT NECK CHEMISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREAT NECK CHEMISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.