Active NPI
Wellnessrx Pharma Inc
- Community/Retail Pharmacy
- East Farmingdale, NY
National Provider Identifier
1831907997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WELLNESSRX PHARMA INC
- Practice address
- 1025 Fulton St
East Farmingdale, NY 11735-4700 - Phone
- (631) 456-9111
- Fax
- (631) 456-9112
- NPI assigned
- Dec 20, 2024
- 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
- Mark Kalendariov
- Title
- President
- Phone
- (631) 465-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1025 Fulton St
East Farmingdale, NY 11735-4700
Mailing address
1025 Fulton St
Farmingdale, NY 11735-4700
Phone (631) 456-9111
Other names 1
- WELLNESSRX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250424000767 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082130943 | Practice locations: East Farmingdale, NY |
| O20250424001234 | NY | Part B Supplier - Pharmacy | 4082130943 | Practice locations: East Farmingdale, NY |
| O20250612001724 | NY | DME Supplier - Pharmacy | 4082130943 | Practice locations: Farmingdale, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wellnessrx Pharma Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1025 Fulton St
Farmingdale, NY 11735
Phone (631) 456-9111
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
- Farmingdale, NY
- NPI 1629865910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1831907997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 FULTON ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354700",
"telephone_number": "631-456-9111",
"fax_number": "631-456-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 FULTON ST",
"city": "EAST FARMINGDALE",
"state": "NY",
"postal_code": "117354700",
"telephone_number": "631-456-9111",
"fax_number": "631-456-9112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESSRX PHARMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-20",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "KALENDARIOV",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-465-9111"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLNESSRX",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WELLNESSRX",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.