Active NPI
Limarx Pharmacy Inc.
- Community/Retail Pharmacy
- Roslyn Heights, NY
National Provider Identifier
1861185233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LIMARX PHARMACY INC.
- Practice address
- 207 Mineola Ave
Roslyn Heights, NY 11577-1955 - Phone
- (516) 605-6116
- Fax
- (516) 605-6117
- NPI assigned
- May 31, 2023
- Last updated
- Jun 21, 2023
- 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
- Aleksandr Khaitov
- Title
- President
- Phone
- (516) 605-6116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
207 Mineola Ave
Roslyn Heights, NY 11577-1955
Mailing address
207 Mineola Ave
Roslyn Heights, NY 11577-1955
Phone (516) 605-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230712004619 | NY | Part B Supplier - Pharmacy | 2466812151 | Practice locations: Roslyn Heights, NY |
| O20231003000019 | NY | DME Supplier - Pharmacy | 2466812151 | Practice locations: Roslyn Heights, NY |
National Provider Directory
National Provider DirectoryLocations
207 Mineola Ave
Roslyn Heights, NY 11577
Phone (516) 605-6116
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Corona, NY
- NPI 1669894614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1861185233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771955",
"telephone_number": "516-605-6116",
"fax_number": "516-605-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MINEOLA AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771955",
"telephone_number": "516-605-6116",
"fax_number": "516-605-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMARX PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "KHAITOV",
"authorized_official_first_name": "ALEKSANDR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-605-6116"
},
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.