Oprx #11558, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

013869 Issued in NY

Legal business name

OPRX #11558, LLC

Practice address

333 Long Beach Rd
Island Park, NY 11558-1509

Phone

(516) 431-1991

Fax

(516) 431-1496

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Sarit Roy

Title

Managing Member

Phone

(516) 876-0737

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• CONRAD'S PHARMACY Doing business as
• OnPoint Pharmacy of Island Park Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Conrad'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oprx #11558, LLC

  • Community/Retail Pharmacy
  • Island Park, NY
  • NPI 1891420592
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Louis Bambace

  • Pharmacist
  • Island Park, NY
  • NPI 1053592303
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1659485548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581509",
            "telephone_number": "516-431-1991",
            "fax_number": "516-431-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581509",
            "telephone_number": "516-431-1991",
            "fax_number": "516-431-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPRX #11558, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SARIT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-876-0737"
    },
    "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": "013869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00380630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONRAD'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CONRAD'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnPoint Pharmacy of Island Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Nathanson, PT
• Jeffrey Craig Nudelman, L.AC. , L.M.T
• Brianna Obas, PHARMD
• Laura Odonnell, RN
• Angie Oliveros
• Oprx #11558, LLC
• Ravi Patel, PHARM D.
• Tej H Patel
• Anne Marie Peters, N.P.P.
• Prestige Adult Center

• Community/Retail Pharmacy in Island Park, NY
• Providers in Island Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.