Organization Active NPI

Fastcare RX Inc

  • Community/Retail Pharmacy
  • Lindenhurst, NY
National Provider Identifier
1609669209
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FASTCARE RX INC
Practice address
722 Wellwood Ave
Lindenhurst, NY 11757-1601
Phone
(631) 830-4500
Fax
(631) 938-0593
NPI assigned
May 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Reuben Mizrahi
Title
Owner
Phone
(631) 830-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

722 Wellwood Ave
Lindenhurst, NY 11757-1601

Mailing address

722 Wellwood Ave
Lindenhurst, NY 11757-1601
Phone (631) 830-4500

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250904002158 NY Part B Supplier - Pharmacy 3577065044 Practice locations: Lindenhurst, NY
O20251020001828 NY DME Supplier - Pharmacy 3577065044 Practice locations: Lindenhurst, 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
Fastcare RX Inc722 Wellwood Ave, Lindenhurst, NY 11757-1601(631) 830-4500 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 27, 2025

National Provider Directory

National Provider Directory

Locations

722 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 830-4500

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1609669209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571601",
            "telephone_number": "631-830-4500",
            "fax_number": "631-938-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571601",
            "telephone_number": "631-830-4500",
            "fax_number": "631-938-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTCARE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-830-4500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.