Organization Active NPI

RNJ Pharmacy Inc.

  • Community/Retail Pharmacy
  • Freeport, NY
National Provider Identifier
1841403649
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
028358 Issued in NY
Legal business name
RNJ PHARMACY INC.
Practice address
82 Guy Lombardo Ave
Freeport, NY 11520-3715
Phone
(516) 377-8500
Fax
(516) 377-8501
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Abdilakim Berdikulov
Title
President
Phone
(516) 377-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 028358 NY Primary

Addresses

Primary practice location

82 Guy Lombardo Ave
Freeport, NY 11520-3715

Mailing address

82 Guy Lombardo Ave
Freeport, NY 11520-3715
Phone (516) 377-8500

Other identifiers 1

IdentifierTypeStateIssuer
028358OtherNYPHARMACY REGISTRATION

Other names 1

  • FREEPORT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306000399 NY Part B Supplier - Pharmacy 9436354180 Practice locations: Freeport, NY

National Provider Directory

National Provider Directory

Locations

82 Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 377-8500

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1841403649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203715",
            "telephone_number": "516-377-8500",
            "fax_number": "516-377-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203715",
            "telephone_number": "516-377-8500",
            "fax_number": "516-377-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNJ PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "BERDIKULOV",
        "authorized_official_first_name": "ABDILAKIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-377-8500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY REGISTRATION",
            "identifier": "028358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEPORT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.