NPIMap

Organization Active NPI

Greatneck Chemists Inc

  • Community/Retail Pharmacy
  • Farmingdale, NY
National Provider Identifier
1386789543
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
019602 Issued in NY
Legal business name
GREATNECK CHEMISTS INC
Doing business as
Great Neck Chemists Inc
Practice address
69 Allen Blvd
Farmingdale, NY 11735-5614
Phone
(516) 482-0004
Fax
(516) 487-8729
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Frank Longo, BSNPI 1003130709
Title
President
Phone
(516) 482-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 019602 NY Primary

Addresses

Primary practice location

69 Allen Blvd
Farmingdale, NY 11735-5614

Mailing address

69 Allen Blvd
Farmingdale, NY 11735-5614
Phone (516) 482-0004

Other identifiers 2

IdentifierTypeStateIssuer
2065113OtherPK
01051674MedicaidNY

Other names 1

  • GREAT NECK CHEMISTS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041103001112 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1850353590 1 other NPI on this enrollment
Practice locations: Farmingdale, NY
O20100930094431 NY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1850353590 Practice locations: Farmingdale, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1386789543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004",
            "fax_number": "516-487-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355614",
            "telephone_number": "516-482-0004",
            "fax_number": "516-487-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATNECK CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-482-0004",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "019602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065113",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT NECK CHEMISTS INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREAT NECK CHEMISTS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.