NPIMap

Organization Active NPI

Well Care Pharmacy of Longisland Corp.

  • Pharmacist
  • Farmingdale, NY
National Provider Identifier
1710263462
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030876 Issued in NY
Legal business name
WELL CARE PHARMACY OF LONGISLAND CORP.
Practice address
1037 Fulton St
Farmingdale, NY 11735-4700
Phone
(516) 249-5900
Fax
(516) 249-5902
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Mr. Raheel Pervez
Title
Owner
Phone
(516) 249-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 030876 NY Primary

Addresses

Primary practice location

1037 Fulton St
Farmingdale, NY 11735-4700

Mailing address

1011-45 RT 109
Farmingdale, NY 11735-4700
Phone (516) 249-5900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1710263462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011-45 RT 109",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354700",
            "telephone_number": "516-249-5900",
            "fax_number": "516-249-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354700",
            "telephone_number": "516-249-5900",
            "fax_number": "516-249-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE PHARMACY OF LONGISLAND CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "PERVEZ",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-249-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.