Organization Active NPI

Onehealth Pharmacy LLC

  • Community/Retail Pharmacy
  • East Setauket, NY
National Provider Identifier
1255047965
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ONEHEALTH PHARMACY LLC
Practice address
226 N Belle Mead Rd Ste B
East Setauket, NY 11733-3524
Phone
(631) 675-5173
Fax
(631) 675-2609
NPI assigned
Jan 26, 2023
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mr. Michael Fedida, RPH, M.S.NPI 1699090969
Title
Pharmacist
Phone
(516) 991-4600

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 Primary

Addresses

Primary practice location

226 N Belle Mead Rd Ste B
East Setauket, NY 11733-3524

Mailing address

226 N Belle Mead Rd Ste B
East Setauket, NY 11733-3524
Phone (631) 675-5173

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230607000838 NY Part B Supplier - Pharmacy 2769849777 Practice locations: East Setauket, NY
O20240312001235 NY DME Supplier - Pharmacy 2769849777 Practice locations: East Setauket, 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
Onehealth Pharmacy LLC226 N Belle Mead Rd Ste B, East Setauket, NY 11733-3524(631) 675-5173 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 26, 2023

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

226 N Belle Mead Rd
Ste B
East Setauket, NY 11733
Phone (631) 675-5173

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": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1255047965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N BELLE MEAD RD STE B",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333524",
            "telephone_number": "631-675-5173",
            "fax_number": "631-675-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N BELLE MEAD RD STE B",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333524",
            "telephone_number": "631-675-5173",
            "fax_number": "631-675-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEHEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "FEDIDA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "516-991-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, M.S."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.