Organization Active NPI

Long Beach Chemists Inc

  • Community/Retail Pharmacy
  • Long Beach, NY
National Provider Identifier
1548354657
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028010 Issued in NY
Legal business name
LONG BEACH CHEMISTS INC
Doing business as
LONG BEACH CHEMISTS
Practice address
170 W Park Ave
Long Beach, NY 11561-3317
Phone
(516) 431-0611
Fax
(516) 431-1218
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Bhanu GaddeNPI 1457582876
Title
President
Phone
(972) 898-2279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 028010 NY Primary

Addresses

Primary practice location

170 W Park Ave
Long Beach, NY 11561-3317

Mailing address

170 W Park Ave
Long Beach, NY 11561-3317
Phone (516) 431-0611

Other identifiers 2

IdentifierTypeStateIssuer
02760754MedicaidNY
2063747OtherPK

Other names 1

  • LONG BEACH CHEMISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930083644 NY DME Supplier - Pharmacy 3779786777 Practice locations: Long Beach, NY
O20250507000313 NY Part B Supplier - Pharmacy 3779786777 Practice locations: Long Beach, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Long Beach Chemists170 W Park Ave, Long Beach, NY 11561-3317(516) 431-0611 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 3, 2006

National Provider Directory

National Provider Directory

Locations

170 W Park Ave
Long Beach, NY 11561
Phone (516) 431-0611

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1548354657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613317",
            "telephone_number": "516-431-0611",
            "fax_number": "516-431-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613317",
            "telephone_number": "516-431-0611",
            "fax_number": "516-431-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "GADDE",
        "authorized_official_first_name": "BHANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-898-2279"
    },
    "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": "028010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063747",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG BEACH CHEMISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONG BEACH CHEMISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.