Sultana RX Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SULTANA RX CORP.

Doing business as

Lighthouse Pharmacy

Practice address

747 Montauk Hwy
East Patchogue, NY 11772-5423

Phone

(631) 654-2444

Fax

(631) 654-1837

NPI assigned

Apr 8, 2019

Last updated

Apr 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tarique Chaudhary

Title

President

Phone

(631) 654-2444

Specialties & licenses 1

Addresses

Other names 1

• LIGHTHOUSE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Lighthouse Pharmacy2 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.

• Sultana RX Corp.

  • Long Term Care Pharmacy
  • East Patchogue, NY
  • NPI 1699649723
  NPD tax ID

Locations

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1184187106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725423",
            "telephone_number": "631-654-2444",
            "fax_number": "631-654-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725423",
            "telephone_number": "631-654-2444",
            "fax_number": "631-654-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTANA RX CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "TARIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-654-2444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHTHOUSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suffolk Chest Physicians, LLP
• Suffolk Surgical Group, PC
• Suffolk Surgical Group, PC
• Briana Sullivan, LMSW
• Marie Guerline Sully
• Sultana RX Corp.
• Sunrise RX LLC (Sunrise Pharmacy)
• Eileen Suydam Oster, OT/L
• Toni A Swain, OTR/L
• Salma Ferdushi Syed

• Community/Retail Pharmacy in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.