Active NPI
Hamptons Health Farmacia Hispana Inc
Doing business as Renu RX Hampton Bays
- Community/Retail Pharmacy
- Hampton Bays, NY
National Provider Identifier
1366217358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HAMPTONS HEALTH FARMACIA HISPANA INC
- Doing business as
- Renu RX Hampton Bays
- Practice address
- 154 W Montauk Hwy Ste 5
Hampton Bays, NY 11946-4015 - Phone
- (631) 594-2283
- Fax
- (631) 594-2284
- NPI assigned
- Nov 20, 2023
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bekzod Khuseinovich Khudayarov
- Title
- President / Owner
- Phone
- (631) 594-2283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
154 W Montauk Hwy Ste 5
Hampton Bays, NY 11946-4015
Mailing address
154 W Montauk Hwy Ste 5
Hampton Bays, NY 11946-4015
Phone (631) 594-2283
Other names 1
- RENU RX HAMPTON BAYS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240404002390 | NY | Part B Supplier - Pharmacy | 8820436256 | Practice locations: Hampton Bays, NY |
National Provider Directory
National Provider DirectoryLocations
154 W Montauk Hwy
Ste 5
Hampton Bays, NY 11946
Phone (631) 594-2283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1366217358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 W MONTAUK HWY STE 5",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119464015",
"telephone_number": "631-594-2283",
"fax_number": "631-594-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 W MONTAUK HWY STE 5",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119464015",
"telephone_number": "631-594-2283",
"fax_number": "631-594-2284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPTONS HEALTH FARMACIA HISPANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "KHUDAYAROV",
"authorized_official_first_name": "BEKZOD",
"authorized_official_middle_name": "KHUSEINOVICH",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "631-594-2283"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RENU RX HAMPTON BAYS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.