Organization Active NPI

Sun Ray Super Drugs Inc.

Doing business as Sun Ray Pharmacy

  • Community/Retail Pharmacy
  • Bay Shore, NY
National Provider Identifier
1265564165
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUN RAY SUPER DRUGS INC.
Doing business as
Sun Ray Pharmacy
Practice address
1191 Sunrise Hwy
Bay Shore, NY 11706
Phone
(631) 206-4000
Fax
(631) 206-1273
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mr. Henry Kahn, RPH
Title
President
Phone
(631) 206-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 029783 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1191 Sunrise Hwy
Bay Shore, NY 11706

Mailing address

1191 Sunrise Hwy
Bay Shore, NY 11706-5911
Phone (631) 206-4000

Other names 1

  • Sun Ray Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930092258 NY DME Supplier - Pharmacy 2961609425 Practice locations: Bay Shore, NY
O20250324000884 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2961609425 Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory

Locations

1191 Sunrise Hwy
Bay Shore, NY 11706
Phone (631) 206-4000

Practitioners & affiliated clinicians

Practitioners 2

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1265564165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065911",
            "telephone_number": "631-206-4000",
            "fax_number": "631-206-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-206-4000",
            "fax_number": "631-206-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RAY SUPER DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-206-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "029783",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Ray Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.