Organization Active NPI

Solisa LLC

Doing business as Granny's Pharmacy

  • Community/Retail Pharmacy
  • Massapequa, NY
National Provider Identifier
1841154358
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOLISA LLC
Doing business as
Granny's Pharmacy
Practice address
5624 Merrick Rd
Massapequa, NY 11758-6217
Phone
(516) 960-5201
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Liliah Dyal-Gualbance
Title
Owner
Phone
(516) 960-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5624 Merrick Rd
Massapequa, NY 11758-6217

Mailing address

5624 Merrick Rd
Massapequa, NY 11758-6217
Phone (516) 960-5201

Other names 1

  • Granny's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5624 Merrick Rd
Massapequa, NY 11758
Phone (516) 960-5201

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1841154358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586217",
            "telephone_number": "516-960-5201",
            "fax_number": "516-301-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586217",
            "telephone_number": "516-960-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLISA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "DYAL-GUALBANCE",
        "authorized_official_first_name": "LILIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-960-5201"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granny's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.