Organization Active NPI

Raindew Plandome Pharmacy LTD

Doing business as Raindew Pharmacy

  • Community/Retail Pharmacy
  • Manhasset, NY
National Provider Identifier
1447343876
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026642 Issued in NY
Legal business name
RAINDEW PLANDOME PHARMACY LTD
Doing business as
Raindew Pharmacy
Practice address
465 Plandome Rd
Manhasset, NY 11030-1942
Phone
(516) 627-8666
Fax
(516) 627-1768
NPI assigned
Sep 30, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kevin Bordeman
Title
Owner
Phone
(718) 762-8862

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026642 NY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

465 Plandome Rd
Manhasset, NY 11030-1942

Mailing address

465 Plandome Rd
Manhasset, NY 11030-1942
Phone (516) 627-8666

Other identifiers 2

IdentifierTypeStateIssuer
02551100MedicaidNY
2062740OtherPK

Other names 1

  • RAINDEW PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1447343876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301942",
            "telephone_number": "516-627-8666",
            "fax_number": "516-627-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301942",
            "telephone_number": "516-627-8666",
            "fax_number": "516-627-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINDEW PLANDOME PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BORDEMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-762-8862"
    },
    "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": "026642",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551100",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2062740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINDEW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.