Organization Active NPI

Town Pharmacy LLC

  • Community/Retail Pharmacy
  • Great Neck, NY
National Provider Identifier
1194191502
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
033891 Issued in NY
Legal business name
TOWN PHARMACY LLC
Practice address
96 Horace Harding Blvd
Great Neck, NY 11020-1106
Phone
(516) 439-5380
Fax
(516) 439-5378
NPI assigned
Aug 19, 2015
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Alan KhorshidiNPI 1982953337
Title
Pharmacist
Phone
(516) 263-7917

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 033891 NY Primary

Addresses

Primary practice location

96 Horace Harding Blvd
Great Neck, NY 11020-1106

Mailing address

96 Horace Harding Blvd
Great Neck, NY 11020-1106
Phone (516) 439-5380

Other identifiers 1

IdentifierTypeStateIssuer
05133528MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214002514 NY DME Supplier - Pharmacy 3476813353 Practice locations: Great Neck, 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
Town Pharmacy LLC96 Horace Harding Blvd, Great Neck, NY 11020-1106(516) 439-5380 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 13, 2018

National Provider Directory

National Provider Directory

Locations

96 Horace Harding Blvd
Great Neck, NY 11020
Phone (516) 439-5380

Practitioners & affiliated clinicians

Practitioners 2

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1194191502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HORACE HARDING BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201106",
            "telephone_number": "516-439-5380",
            "fax_number": "516-439-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HORACE HARDING BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201106",
            "telephone_number": "516-439-5380",
            "fax_number": "516-439-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "KHORSHIDI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "516-263-7917",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05133528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.