Organization Active NPI

Centereach RX Inc.

  • Pharmacy
  • Centereach, NY
National Provider Identifier
1396608980
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.