Organization Active NPI

Cedar Creek Drugs Co., Inc.

  • Community/Retail Pharmacy
  • Wantagh, NY
National Provider Identifier
1306961610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017791 Issued in NY
Legal business name
CEDAR CREEK DRUGS CO., INC.
Practice address
3381 Merrick Rd
Wantagh, NY 11793-4342
Phone
(516) 785-3763
Fax
(516) 409-6923
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Thomas Sutherland, RPH.
Title
President
Phone
(516) 785-3763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 017791 NY Primary

Addresses

Primary practice location

3381 Merrick Rd
Wantagh, NY 11793-4342

Mailing address

3381 Merrick Rd
Wantagh, NY 11793-4342
Phone (516) 785-3763

National Provider Directory

National Provider Directory

Locations

3381 Merrick Rd
Wantagh, NY 11793
Phone (516) 785-3763

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306961610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934342",
            "telephone_number": "516-785-3763",
            "fax_number": "516-409-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 MERRICK RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934342",
            "telephone_number": "516-785-3763",
            "fax_number": "516-409-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK DRUGS CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-785-3763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.