Organization Active NPI

Old Fashioned RX LLC

  • Community/Retail Pharmacy
  • Northport, NY
National Provider Identifier
1588547335
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.