Organization Active NPI

Modern Pharmacy Incorporated

  • Long Term Care Pharmacy
  • South Richmond Hill, NY
National Provider Identifier
1225848781
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MODERN PHARMACY INCORPORATED
Practice address
9502 Van Wyck Expy
South Richmond Hill, NY 11419-1638
Phone
(888) 585-6874
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Shagata NathNPI 1588397210
Title
Owner
Phone
(718) 282-7660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9502 Van Wyck Expy
South Richmond Hill, NY 11419-1638

Mailing address

9502 Van Wyck Expy
South Richmond Hill, NY 11419-1638
Phone (888) 585-6874

Other names 1

  • Modern Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1225848781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 VAN WYCK EXPY",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191638",
            "telephone_number": "888-585-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 VAN WYCK EXPY",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191638",
            "telephone_number": "888-585-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "SHAGATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-282-7660"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.