NPIMap

Organization Active NPI

My CHS RX Inc.

  • Community/Retail Pharmacy
  • Port Jefferson, NY
National Provider Identifier
1255975140
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY CHS RX INC.
Practice address
200 Belle Terre Rd # C213
Port Jefferson, NY 11777-1928
Phone
(631) 465-7175
NPI assigned
Nov 4, 2019
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Nasser N SaadNPI 1851617054
Title
Avp Pharmacy
Phone
(646) 441-8755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

200 Belle Terre Rd # C213
Port Jefferson, NY 11777-1928

Mailing address

200 Belle Terre Rd # C213
Port Jefferson, NY 11777-1928
Phone (631) 465-7175

Other names 1

  • My CHS Rx Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200203001573 NY Part B Supplier - Pharmacy 5597191973 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centereach, NY; West Islip, NY; Smithtown, NY; Rockville Centre, NY; Port Jefferson, NY; Hauppauge, NY; Bethpage, NY

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
My CHS RX Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Belle Terre Rd
#C213
Port Jefferson, NY 11777
Phone (631) 465-7175

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

Practitioners & affiliated clinicians

Practitioners 1

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1255975140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD # C213",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-465-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD # C213",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-465-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHS RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AVP PHARMACY",
        "authorized_official_telephone_number": "646-441-8755"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My CHS Rx Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.