Organization Active NPI

Cottage Pharmacy & Surgical Inc

  • Community/Retail Pharmacy
  • Woodbury, NY
National Provider Identifier
1609921253
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030881 Issued in NY
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

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2158179OtherPK
03564981MedicaidNY

Other names 1

  • Cottage Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000439 NY DME Supplier - Pharmacy 9638382112 Practice locations: Woodbury, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.