Active NPI
Centereach RX Inc.
- Pharmacy
- Centereach, NY
National Provider Identifier
1396608980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CENTEREACH RX INC.
- Practice address
- 1759 Middle Country Rd Unit 2
Centereach, NY 11720-3505 - Phone
- (631) 333-1617
- Fax
- (631) 400-5058
- NPI assigned
- Dec 9, 2025
- Last updated
- Sep 3, 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
- Matthew Persaud, N/A
- Title
- Presdient
- Phone
- (347) 846-3173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1759 Middle Country Rd Unit 2
Centereach, NY 11720-3505
Mailing address
1759 Middle Country Rd Unit 2
Centereach, NY 11720-3505
Phone (631) 333-1617
National Provider Directory
National Provider Directory- Tax ID family
- Centereach RX Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Centereach, NY
- NPI 1821951419
Locations
1759 Middle Country Rd
Centereach, NY 11720
Phone (631) 333-1617
1759 Middle Country Rd
Unit 2
Centereach, NY 11720
Phone (631) 333-1617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1396608980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 MIDDLE COUNTRY RD UNIT 2",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203505",
"telephone_number": "631-333-1617",
"fax_number": "631-400-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 MIDDLE COUNTRY RD UNIT 2",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203505",
"telephone_number": "631-333-1617",
"fax_number": "631-400-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTEREACH RX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "PERSAUD",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESDIENT",
"authorized_official_telephone_number": "347-846-3173",
"authorized_official_credential": "N/A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.