Medford Chemists Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

011254 Issued in NY

Legal business name

MEDFORD CHEMISTS INC.

Practice address

2608 Route 112
Medford, NY 11763-2551

Phone

(631) 475-4476

Fax

(631) 475-4288

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Crystal Koller

Title

VPF

Phone

(631) 475-4141

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medford Chemists Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

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

• Pharmacy 112 Inc.

  • Pharmacy
  • Medford, NY
  • NPI 1598186595

  Member Of

  NPD member

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1477586832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632551",
            "telephone_number": "631-475-4476",
            "fax_number": "631-475-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632551",
            "telephone_number": "631-475-4476",
            "fax_number": "631-475-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD CHEMISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "KOLLER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VPF",
        "authorized_official_telephone_number": "631-475-4141"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "011254",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00265669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Chemists Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Sema Maxwell, LMSW
• Stacy R McCabe, LPN
• John McCarthy
• Kaitlin McGuire
• Sherry L. McPherson-Berg, LCSW-R
• Medford Compounding & Specialty Pharmacy LLC
• Medford Dialysis Access P.C.
• Medford Hamlet, LLC
• Medford Volunteer Ambulance, Inc.
• Medivault Labs

• Long Term Care Pharmacy in Medford, NY
• Providers in Medford, NY by specialty
• Long Term Care Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.