Moby Drugs Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MOBY DRUGS INC

Doing business as

MOBY DRUGS

Practice address

226 Main St
Farmingdale, NY 11735-2679

Phone

(516) 249-0268

Fax

(516) 249-2036

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Rajendraprasad Venigalla

Title

Owner/President

Phone

(347) 528-8893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOBY DRUGS Doing business as

Tax ID family

Moby Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moby Drugs Inc

  • Community/Retail Pharmacy
  • Farmingdale, NY
  • NPI 1205975463
  NPD tax ID

Locations

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1053016410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352679",
            "telephone_number": "516-249-0268",
            "fax_number": "516-249-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352679",
            "telephone_number": "516-249-0268",
            "fax_number": "516-249-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "RAJENDRAPRASAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-528-8893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Mirabello, LMHC
• Mitchell T Yass Physical Therapy PC
• Leslyn Mitchell
• Vikas Mittle, D.D.S.
• MMR Care Corp
• Moby Drugs Inc
• Howard J Modiano, D.D.S.
• Davi Mohabir
• Samira Mohammad
• Shahrokh Momtahen, MD

• Long Term Care Pharmacy in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.