Organization Active NPI

Moby Drugs Inc

  • Community/Retail Pharmacy
  • Farmingdale, NY
National Provider Identifier
1205975463
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028958 Issued in NY
Legal business name
MOBY DRUGS INC
Practice address
226 Main St
Farmingdale, NY 11735-2618
Phone
(516) 249-0268
Fax
(516) 249-2036
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Prasad Venigalla
Title
President
Phone
(347) 528-8893

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 028958 NY Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

226 Main St
Farmingdale, NY 11735-2618

Mailing address

226 Main St
Farmingdale, NY 11735-2618
Phone (516) 249-0268

Other identifiers 2

IdentifierTypeStateIssuer
02974638MedicaidNY
2064957OtherPK

Other names 1

  • MOBY DRUGS Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930021144 NY DME Supplier - Pharmacy 6507063237 Practice locations: Farmingdale, NY
O20210115001472 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6507063237 Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory
Tax ID family
Moby Drugs2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1205975463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352618",
            "telephone_number": "516-249-0268",
            "fax_number": "516-249-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352618",
            "telephone_number": "516-249-0268",
            "fax_number": "516-249-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-09-19",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-528-8893"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028958",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974638",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.