Active NPI
Merrick Apothecary Corp.
- Community/Retail Pharmacy
- Merrick, NY
National Provider Identifier
1740857879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MERRICK APOTHECARY CORP.
- Practice address
- 2027 Merrick Rd
Merrick, NY 11566-4703 - Phone
- (516) 684-9732
- Fax
- (516) 684-9817
- NPI assigned
- Jun 8, 2021
- 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
- Brian Zone
- Title
- Owner
- Phone
- (516) 581-1037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2027 Merrick Rd
Merrick, NY 11566-4703
Mailing address
2027 Merrick Rd
Merrick, NY 11566-4703
Phone (516) 581-1037
Other names 1
- Long Island Apothecary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220215000803 | NY | Part B Supplier - Pharmacy | 7810380847 | Practice locations: Merrick, NY |
| O20220224001766 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810380847 | Practice locations: Merrick, NY |
National Provider Directory
National Provider DirectoryLocations
6216 Jericho Tpke
Commack, NY 11725
Phone (631) 486-9172
2027 Merrick Rd
Merrick, NY 11566
Phone (516) 684-9732
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Merrick, NY
- NPI 1215692900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630800000000",
"number": "1740857879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664703",
"telephone_number": "516-581-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664703",
"telephone_number": "516-684-9732",
"fax_number": "516-684-9817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRICK APOTHECARY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A",
"authorized_official_last_name": "ZONE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-581-1037"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Island Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; 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.