Organization Active NPI

Vitalmix RX LLC

  • Compounding Pharmacy
  • New Hyde Park, NY
National Provider Identifier
1174486302
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
VITALMIX RX LLC
Practice address
50 Lakeville Rd
New Hyde Park, NY 11040-3052
Phone
(516) 960-5161
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mark Murdakhayev
Title
Pharmacist
Phone
(347) 414-3236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

50 Lakeville Rd
New Hyde Park, NY 11040-3052

Mailing address

50 Lakeville Rd
New Hyde Park, NY 11040-3052
Phone (516) 960-5161

National Provider Directory

National Provider Directory

Locations

50 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 960-5161

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": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1174486302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403052",
            "telephone_number": "516-960-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403052",
            "telephone_number": "516-960-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMIX RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "MURDAKHAYEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "347-414-3236"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.