Organization Active NPI

Larke Drugs Inc

Doing business as 110 Pharmacy and Surgical

  • Community/Retail Pharmacy
  • Melville, NY
National Provider Identifier
1740394634
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
016281 Issued in NY
Legal business name
LARKE DRUGS INC
Doing business as
110 Pharmacy and Surgical
Practice address
459 Route 110
Melville, NY 11747-2106
Phone
(631) 421-5454
Fax
(631) 421-0437
NPI assigned
Aug 18, 2006
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
(631) 421-5454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 016281 NY Primary

Addresses

Primary practice location

459 Route 110
Melville, NY 11747-2106

Mailing address

459 Route 110
Melville, NY 11747-2106
Phone (631) 421-5454

Other identifiers 1

IdentifierTypeStateIssuer
00738936MedicaidNY

Other names 1

  • 110 PHARMACY AND SURGICAL Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930026630 NY DME Supplier - Pharmacy 7113045345 Practice locations: Melville, NY
O20201221002820 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7113045345 Practice locations: Melville, 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
Larke Drugs Inc459 Route 110, Melville, NY 11747-2106(631) 421-5454 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

459 Walt Whitman Rd
Melville, NY 11747
Phone (631) 421-5454

Practitioners & affiliated clinicians

Practitioners 4

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1740394634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 ROUTE 110",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472106",
            "telephone_number": "631-421-5454",
            "fax_number": "631-421-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 ROUTE 110",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472106",
            "telephone_number": "631-421-5454",
            "fax_number": "631-421-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "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": "631-421-5454"
    },
    "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": "016281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "110 PHARMACY AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "110 PHARMACY AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melville, 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.
  • 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.