Oprx #11776, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OPRX #11776, LLC

Practice address

4747 Nesconset Hwy Unit 10
Port Jefferson Station, NY 11776-2866

Phone

(631) 474-7828

Fax

(631) 474-7871

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Sarit Roy

Title

Authorized Official

Phone

(516) 876-0737

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• OnPoint Pharmacy of Port Jefferson Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1902567738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 NESCONSET HWY UNIT 10",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762866",
            "telephone_number": "631-474-7828",
            "fax_number": "631-474-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 NESCONSET HWY UNIT 10",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762866",
            "telephone_number": "631-474-7828",
            "fax_number": "631-474-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPRX #11776, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SARIT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-876-0737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07741106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnPoint Pharmacy of Port Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augustina Adele Ohara, LPN
• Magdalena M Oleszak, MD
• Danielle Dolores Oliveri
• Lauren Olivieri, LPN
• Oprx #11776, LLC
• Optyx LLC
• Irene Ordonez, COTA/L
• Peter Ottavio, D.O.
• P & B Portable Xray Services Inc
• Julie Ann Pablo, NP

• Pharmacy in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.