Organization Active NPI

Medura Health LLC

  • Community/Retail Pharmacy
  • Hicksville, NY
National Provider Identifier
1285541706
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDURA HEALTH LLC
Practice address
232 W Old Country Rd
Hicksville, NY 11801-4011
Phone
(631) 813-4500
Fax
(631) 813-4500
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Mr. Sanjeev Kumar
Title
Manager
Phone
(631) 813-4500

Specialties & licenses 1

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

Addresses

Primary practice location

232 W Old Country Rd
Hicksville, NY 11801-4011

Mailing address

100 Duffy Ave Ste 510
Hicksville, NY 11801-3636
Phone (631) 813-4500

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1285541706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DUFFY AVE STE 510",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013636",
            "telephone_number": "631-813-4500",
            "fax_number": "631-813-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014011",
            "telephone_number": "631-813-4500",
            "fax_number": "631-813-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDURA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-813-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.