NPIMap

Organization Active NPI

Pet Drug Store Inc.

  • Pharmacy
  • Ronkonkoma, NY
National Provider Identifier
1063083897
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PET DRUG STORE INC.
Practice address
700 Union Pkwy Ste 6
Ronkonkoma, NY 11779-7427
Phone
(631) 648-9530
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Kristina GarfinkelNPI 1952786592
Title
Supervising Pharmacist
Phone
(516) 648-9530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

700 Union Pkwy Ste 6
Ronkonkoma, NY 11779-7427

Mailing address

700 Union Pkwy Ste 6
Ronkonkoma, NY 11779-7427

National Provider Directory

National Provider Directory

Locations

700 Union Pkwy
Ste 6
Ronkonkoma, NY 11779
Phone (631) 648-9530

Practitioners & affiliated clinicians

Practitioners 1

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": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1063083897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNION PKWY STE 6",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNION PKWY STE 6",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797427",
            "telephone_number": "631-648-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "GARFINKEL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "516-648-9530"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.