Family Care Pharmacy of Li Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FAMILY CARE PHARMACY OF LI INC

Doing business as

family care pharmacy

Practice address

33 Walt Whitman Rd Ste 100
Huntington Station, NY 11746-3629

Phone

(631) 350-6400

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Efray ShamalovNPI 1396200226

Title

Owner

Phone

(631) 350-6400

Specialties & licenses 1

Addresses

Other names 1

• family care pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Efray Shamalov

  • Pharmacy
  • Huntington Station, NY
  • NPI 1396200226
  NPD Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1366907073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 100",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463629",
            "telephone_number": "631-350-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 100",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463629",
            "telephone_number": "631-350-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHARMACY OF LI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "SHAMALOV",
        "authorized_official_first_name": "EFRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-350-6400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.