Organization Active NPI

Intellirx Inc

  • Community/Retail Pharmacy
  • Lynbrook, NY
National Provider Identifier
1114506813
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INTELLIRX INC
Doing business as
intellirx specialty pharmacy
Practice address
142 Hendrickson Ave
Lynbrook, NY 11563-1038
Phone
(516) 502-0720
Fax
(516) 758-1098
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Dr. Ariel MalakovNPI 1801308952
Title
Owner
Phone
(516) 502-0720

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

142 Hendrickson Ave
Lynbrook, NY 11563-1038

Mailing address

142 Hendrickson Ave
Lynbrook, NY 11563-1038
Phone (516) 502-0720

Other names 1

  • intellirx specialty pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211116001461 NY DME Supplier - Pharmacy 6406245232 Practice locations: Lynbrook, NY
O20230207002428 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6406245232 Practice locations: Lynbrook, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Intellirx Inc142 Hendrickson Ave, Lynbrook, NY 11563-1038(516) 502-0720 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 22, 2022

National Provider Directory

National Provider Directory

Locations

142 Hendrickson Ave
Lynbrook, NY 11563
Phone (516) 502-0720

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": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1114506813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HENDRICKSON AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631038",
            "telephone_number": "516-502-0720",
            "fax_number": "516-758-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HENDRICKSON AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631038",
            "telephone_number": "516-502-0720",
            "fax_number": "516-758-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "MALAKOV",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-502-0720",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "intellirx specialty pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.