Organization Active NPI

Your Wellness Pharmacy Ny Inc

  • Community/Retail Pharmacy
  • Huntington Station, NY
National Provider Identifier
1881296192
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
YOUR WELLNESS PHARMACY NY INC
Practice address
488 E Jericho Tpke
Huntington Station, NY 11746-7328
Phone
(631) 683-4985
Fax
(631) 683-4986
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Moshe Molkandow
Title
President
Phone
(631) 683-4985

Specialties & licenses 1

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

Addresses

Primary practice location

488 E Jericho Tpke
Huntington Station, NY 11746-7328

Mailing address

488 E Jericho Tpke
Huntington Station, NY 11746-7328
Phone (631) 683-4985

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1881296192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467328",
            "telephone_number": "631-683-4985",
            "fax_number": "631-683-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467328",
            "telephone_number": "631-683-4985",
            "fax_number": "631-683-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS PHARMACY NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "MOLKANDOW",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-683-4985"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.