Organization Active NPI

M & O Pharmacy Inc

  • Pharmacy
  • Great Neck, NY
National Provider Identifier
1235318940
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
028586 Issued in NY
Legal business name
M & O PHARMACY INC
Practice address
9 S Middle Neck Rd
Great Neck, NY 11021-3455
Phone
(516) 829-5900
Fax
(516) 829-5901
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Lev ZavulunovNPI 1871774307
Title
Pharmacist
Phone
(516) 829-5900

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
Pharmacy 333600000X 028586 NY Primary

Addresses

Primary practice location

9 S Middle Neck Rd
Great Neck, NY 11021-3455

Mailing address

9 S Middle Neck Rd
Great Neck, NY 11021-3455
Phone (516) 829-5900

Other names 1

  • Medicine Avenue Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9 S Middle Neck Rd
Great Neck, NY 11021
Phone (516) 829-5900

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1235318940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213455",
            "telephone_number": "516-829-5900",
            "fax_number": "516-829-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213455",
            "telephone_number": "516-829-5900",
            "fax_number": "516-829-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & O PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ZAVULUNOV",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "516-829-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "028586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2007; 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.