NPIMap

Organization Active NPI

Wyandanch Pharmacy Inc

Doing business as Wyandanch Drug

  • Community/Retail Pharmacy
  • Wyandanch, NY
National Provider Identifier
1275571192
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
024851 Issued in NY
Legal business name
WYANDANCH PHARMACY INC
Doing business as
Wyandanch Drug
Practice address
323 Merritt Ave
Wyandanch, NY 11798-2328
Phone
(631) 253-4552
Fax
(631) 253-4557
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Sundas Naqvi
Title
Owner
Phone
(347) 484-1794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 024851 NY Primary

Addresses

Primary practice location

323 Merritt Ave
Wyandanch, NY 11798-2328

Mailing address

323 Merritt Ave
Wyandanch, NY 11798-2328
Phone (631) 253-4552

Other names 1

  • WYANDANCH DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wyandanch Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

323 Merritt Ave
Wyandanch, NY 11798
Phone (631) 253-4552

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1275571192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MERRITT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982328",
            "telephone_number": "631-253-4552",
            "fax_number": "631-253-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MERRITT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982328",
            "telephone_number": "631-253-4552",
            "fax_number": "631-253-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDANCH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SUNDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-484-1794"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYANDANCH DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WYANDANCH DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.