Arlo Drug Store of L I Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007694 Issued in NY

Legal business name

ARLO DRUG STORE OF L I INC

Doing business as

Arlo Drug

Practice address

1022 Park Blvd
Massapequa Park, NY 11762-2784

Phone

(516) 798-9444

Fax

(516) 798-0589

NPI assigned

Jun 19, 2006

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajendraprasad VenigallaNPI 1942457049

Title

Owner/President

Phone

(347) 528-8893

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ARLO DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These 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

Tax ID family

Arlo Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arlo Drug Store of Long Island Inc

  • Pharmacist
  • Massapequa Park, NY
  • NPI 1356471023
  NPD tax ID

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajendraprasad Venigalla, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1942457049
  Authorized official Same address or phone
• Patricia A Cummings, RPH

  • Pharmacist
  • Massapequa Park, NY
  • NPI 1730404229
  NPD (past)
• Maria Plumeri, RPH

  • Pharmacist
  • Massapequa Park, NY
  • NPI 1922383439
  NPD (past)
• Roseanne Svec, RPH

  • Pharmacist
  • Massapequa Park, NY
  • NPI 1306161807
  NPD (past)
• Todd A Svec, RPH

  • Pharmacist
  • Massapequa Park, NY
  • NPI 1700101136
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1841235280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622784",
            "telephone_number": "516-798-9444",
            "fax_number": "516-798-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622784",
            "telephone_number": "516-798-9444",
            "fax_number": "516-798-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLO DRUG STORE OF L I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "RAJENDRAPRASAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-528-8893"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "007694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLO DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARLO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oliviea Amaya
• Joann Amoroso, RDH, OMT
• Denise L Anderson
• Jennifer Araoz-Spano
• Melissa Maricela Argueta
• Arlo Drug Store of Long Island Inc
• Anton Allen Armbruster, PH.D.
• Arthur H Fisher MD
• Hooman Arya, PA-C, MS
• Rose Aurora

• Community/Retail Pharmacy in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.

Verify at the official NPI Registry.