Active NPI
Cottage Pharmacy & Surgical Inc
- Community/Retail Pharmacy
- Woodbury, NY
National Provider Identifier
1609921253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 030881
- Legal business name
- COTTAGE PHARMACY & SURGICAL INC
- Practice address
- 8285 Jericho Tpke
Woodbury, NY 11797-1807 - Phone
- (516) 367-9030
- Fax
- (516) 367-4443
- NPI assigned
- Jan 24, 2007
- 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
- Rajendraprasad Venigalla
- Title
- President
- Phone
- (718) 399-8677
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 030881 | NY | Primary |
Addresses
Primary practice location
8285 Jericho Tpke
Woodbury, NY 11797-1807
Mailing address
8285 Jericho Tpke
Woodbury, NY 11797-1807
Phone (516) 367-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158179 | Other | PK | |
| 03564981 | Medicaid | NY |
Other names 1
- Cottage Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121207000439 | NY | DME Supplier - Pharmacy | 9638382112 | Practice locations: Woodbury, NY |
National Provider Directory
National Provider DirectoryLocations
8223 Jericho Tpke
Ste B
Woodbury, NY 11797
Phone (516) 367-9030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Woodbury, NY
- NPI 1043542756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1609921253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 JERICHO TPKE",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971807",
"telephone_number": "516-367-9030",
"fax_number": "516-367-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 JERICHO TPKE",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971807",
"telephone_number": "516-367-9030",
"fax_number": "516-367-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTAGE PHARMACY & SURGICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "VENIGALLA",
"authorized_official_first_name": "RAJENDRAPRASAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-399-8677"
},
"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": "030881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158179",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03564981",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cottage Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.