Organization Active NPI

Merrick Apothecary Corp.

  • Community/Retail Pharmacy
  • Merrick, NY
National Provider Identifier
1740857879
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Sep 5, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.