Active NPI
Greatneck Chemists Inc
- Long Term Care Pharmacy
- Farmingdale, NY
National Provider Identifier
1013943737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 019602
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01051674 | Medicaid | NY | |
| 2064817 | Other | PK |
Other names 1
- GREAT NECK CHEMISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacy Technician
- Farmingdale, NY
- NPI 1093308801
-
- Pharmacy Technician
- Farmingdale, NY
- NPI 1023711397
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.