Active NPI
Merrick Drugs RX LLC
- Community/Retail Pharmacy
- Laurelton, NY
National Provider Identifier
1619769494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Merrick Drugs RX LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.