Organization Active NPI

D.R.a. Pharmakon Inc

  • Pharmacy
  • Hempstead, NY
National Provider Identifier
1457790503
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
031987 Issued in NY
Legal business name
D.R.A. PHARMAKON INC
Practice address
389-391 Peninsula Blvd Ste E
Hempstead, NY 11550-4914
Phone
(516) 280-4100
Fax
(516) 280-4155
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Mr. Demetris Pavlou
Title
RPH
Phone
(516) 280-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 031987 NY Primary

Addresses

Primary practice location

389-391 Peninsula Blvd Ste E
Hempstead, NY 11550-4914

Mailing address

389-391 Peninsula Blvd Store E
Hempstead, NY 11550-4914
Phone (516) 280-4100

Other identifiers 1

IdentifierTypeStateIssuer
03794603MedicaidNY

Other names 1

  • D's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1457790503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389-391 PENINSULA BLVD STORE E",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504914",
            "telephone_number": "516-280-4100",
            "fax_number": "516-280-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389-391 PENINSULA BLVD STE E",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504914",
            "telephone_number": "516-280-4100",
            "fax_number": "516-280-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R.A. PHARMAKON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "PAVLOU",
        "authorized_official_first_name": "DEMETRIS",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "516-280-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "031987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03794603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.