Organization Active NPI

PDP Pharmacy Inc

Doing business as Express Rx

  • Community/Retail Pharmacy
  • Lynbrook, NY
National Provider Identifier
1164669057
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029282 Issued in NY
Legal business name
PDP PHARMACY INC
Doing business as
Express Rx
Practice address
493 Sunrise Hwy
Lynbrook, NY 11563-3017
Phone
(516) 593-9350
Fax
(516) 599-9614
NPI assigned
Jan 14, 2009
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Joshua Mathew
Title
President
Phone
(516) 761-2406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029282 NY Primary

Addresses

Primary practice location

493 Sunrise Hwy
Lynbrook, NY 11563-3017

Mailing address

493 Sunrise Hwy
Lynbrook, NY 11563-3017
Phone (516) 593-9350

Other identifiers 1

IdentifierTypeStateIssuer
3359709OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Express Rx Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1164669057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633017",
            "telephone_number": "516-593-9350",
            "fax_number": "516-599-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633017",
            "telephone_number": "516-593-9350",
            "fax_number": "516-599-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-761-2406"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3359709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx",
            "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 May 31, 2011; 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.