Wyandanch Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WYANDANCH PHARMACY INC

Practice address

323 Merritt Ave
Wyandanch, NY 11798-2328

Phone

(631) 253-4552

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Sundas Naqvi

Title

President

Phone

(516) 593-7747

Specialties & licenses 1

Addresses

Other names 1

• Wyandanch Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Wyandanch Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wyandanch Pharmacy Inc

  • Community/Retail Pharmacy
  • Wyandanch, NY
  • NPI 1275571192
  NPD tax ID
• Wyandanch Pharmacy Inc

  • Long Term Care Pharmacy
  • Wyandanch, NY
  • NPI 1750237350
  NPD tax ID

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1386407633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MERRITT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MERRITT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982328",
            "telephone_number": "631-253-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDANCH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SUNDAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-593-7747"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyandanch Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• White Oaks Nursing Home
• Cavelle Williams
• Debbie-Ann Williams, LPN
• Keisha Ann Monique Williams, PNP
• Wyandanch Pharmacy Inc
• Wyandanch Pharmacy Inc
• Wyandanch PT, Family Health NP and Chiropractic PLLC
• Wyandanch School District
• Wyandanch Special Education Dept.
• Wyandanch Wheatley Heights Ambulance Corp

• Community/Retail Pharmacy in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.