NPIMap

Organization Active NPI

Sina Drug LLC

  • Specialty Pharmacy
  • New Hyde Park, NY
National Provider Identifier
1821531898
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
25289 Issued in NY
Legal business name
SINA DRUG LLC
Practice address
1985 Marcus Ave Ste 120
New Hyde Park, NY 11042-2024
Phone
(877) 662-6633
Fax
(877) 662-6355
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Randolph Falkenrath
Title
President
Phone
(877) 662-6633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X 25289 NY Primary

Addresses

Primary practice location

1985 Marcus Ave Ste 120
New Hyde Park, NY 11042-2024

Mailing address

13410 Eastpoint Centre Dr
Ste 101
Louisville, KY 40223-4160
Phone (877) 662-6633

Other identifiers 2

IdentifierTypeStateIssuer
02317393MedicaidNY
25289OtherNYPHARMACY PERMIT

Other names 1

  • ONCO360 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sina Drug LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1985 Marcus Ave
Ste 120
New Hyde Park, NY 11042

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1821531898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MARCUS AVE STE 120",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422024",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "FALKENRATH",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-662-6633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "25289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02317393",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "25289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONCO360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ONCO360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.