Active NPI
Old Fashioned RX LLC
- Community/Retail Pharmacy
- Northport, NY
National Provider Identifier
1588547335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OLD FASHIONED RX LLC
- Practice address
- 1019 Fort Salonga Rd Ste 102
Northport, NY 11768-2270 - Phone
- (516) 802-5992
- NPI assigned
- Jul 29, 2025
- Last updated
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Zachariadis
- Title
- Owner
- Phone
- (516) 805-5992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1019 Fort Salonga Rd Ste 102
Northport, NY 11768-2270
Mailing address
1019 Fort Salonga Rd Ste 102
Northport, NY 11768-2270
National Provider Directory
National Provider DirectoryLocations
1019 Fort Salonga Rd
Ste 102
Northport, NY 11768
Phone (516) 802-5992
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Westbury, NY
- NPI 1629445424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1588547335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 FORT SALONGA RD STE 102",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 FORT SALONGA RD STE 102",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682270",
"telephone_number": "516-802-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD FASHIONED RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "ZACHARIADIS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-805-5992"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.