Organization Active NPI

Hamptons Health Farmacia Hispana Inc

Doing business as Renu RX Hampton Bays

  • Community/Retail Pharmacy
  • Hampton Bays, NY
National Provider Identifier
1366217358
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404002390 NY Part B Supplier - Pharmacy 8820436256 Practice locations: Hampton Bays, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.