Active NPI
Moshe Suyunov
- Pharmacist
- Huntington, NY
National Provider Identifier
1265808257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060964
- Practice address
- 775 Park Ave
Huntington, NY 11743-3976 - Phone
- (631) 784-7777
- NPI assigned
- Aug 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060964 | NY | Primary |
Addresses
Primary practice location
775 Park Ave
Huntington, NY 11743-3976
Mailing address
775 Park Ave
Huntington, NY 11743-3976
Phone (631) 784-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060964 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astoria Organix Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Astoria Organix Pharmacy
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1932556503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1265808257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433976",
"telephone_number": "631-784-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433976",
"telephone_number": "631-784-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUYUNOV",
"first_name": "MOSHE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
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- Surya Wellness Massage Therapy PLLC
- Susan Lupia, Massage Therapy, PLLC
- Jenny Rebecca Susser, PH.D.
- Lisa Sutton, LCAT
- Daniel Michael Sweeney Jr., DPT
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- Sweetness Skilled & Loving Care Inc.
- Sweetness Transportation Inc.
- Charlotte Maria Szczurowski, MA; SLP-CCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.