Lake Success RX Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKE SUCCESS RX CORP

Practice address

1566A Union Tpke
New Hyde Park, NY 11040-1762

Phone

(516) 502-4170

Fax

(516) 502-4168

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Stanislav Zavulunov

Title

President

Phone

(516) 502-4170

Specialties & licenses 1

Addresses

Other names 1

• PHARMACONIC 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

Locations

Practitioners 1

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

• Louisa Zeppieri, RPH

  • Pharmacist
  • New Hyde Park, NY
  • NPI 1578200200
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1508526328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566A UNION TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401762",
            "telephone_number": "516-502-4170",
            "fax_number": "516-502-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566A UNION TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401762",
            "telephone_number": "516-502-4170",
            "fax_number": "516-502-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "ZAVULUNOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-502-4170"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACONIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Success Medical Associates
• Lake Success Neurological Surgery PC
• Lake Success Ophthalmic Associates PC
• Lake Success Periodontics and Implants P.C.
• Lake Success Physical Therapy P.C.
• Lake Success Women'S Medical Care
• Lakeville Ambulette Transportation LLC
• Lakeville Chiropractic, PC
• Lakeville Comprehensive Medical Injury Care P.L.L.C
• Lakeville Dental Group. P.C.

• Community/Retail Pharmacy in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.