Organization Active NPI

Merrick Drugs RX LLC

  • Community/Retail Pharmacy
  • Laurelton, NY
National Provider Identifier
1619769494
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERRICK DRUGS RX LLC
Practice address
22711 Merrick Blvd
Laurelton, NY 11413-2104
Phone
(718) 928-3323
Fax
(718) 540-7416
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Elizabeth Shimunova
Title
Owner
Phone
(718) 928-3323

Specialties & licenses 1

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

Addresses

Primary practice location

22711 Merrick Blvd
Laurelton, NY 11413-2104

Mailing address

22711 Merrick Blvd
Laurelton, NY 11413-2104
Phone (718) 928-3323

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250707002559 NY Part B Supplier - Pharmacy 4486168051 Practice locations: Laurelton, NY
O20250819004979 NY DME Supplier - Pharmacy 4486168051 Practice locations: Laurelton, 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
Merrick Drugs RX LLC22711 Merrick Blvd, Laurelton, NY 11413-2104(718) 928-3323 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 2025

National Provider Directory

National Provider Directory

Locations

22711 Merrick Blvd
Laurelton, NY 11413
Phone (718) 928-3323

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1619769494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22711 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132104",
            "telephone_number": "718-928-3323",
            "fax_number": "718-540-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132104",
            "telephone_number": "718-928-3323",
            "fax_number": "718-540-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK DRUGS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "SHIMUNOVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-928-3323"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.