Active NPI
Moby Drugs Inc
- Community/Retail Pharmacy
- Farmingdale, NY
National Provider Identifier
1205975463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 028958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02974638 | Medicaid | NY | |
| 2064957 | Other | PK |
Other names 1
- MOBY DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Farmingdale, NY
- NPI 1053016410
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.