Organization Active NPI

Good RX LLC

  • Pharmacy
  • Hicksville, NY
National Provider Identifier
1962028423
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GOOD RX LLC
Practice address
459 S Broadway
Hicksville, NY 11801-5068
Phone
(516) 595-7400
NPI assigned
Jun 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Hasibullah Mir, PHARMDNPI 1922641638
Title
Owner
Phone
(516) 595-7400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

459 S Broadway
Hicksville, NY 11801-5068

Mailing address

459 S Broadway
Hicksville, NY 11801-5068

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL primers Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200916001364 NY DME Supplier - Pharmacy 5092133439 Practice locations: Hicksville, NY
O20230918001537 NY Part B Supplier - Pharmacy 5092133439 Practice locations: Hicksville, NY
O20260127002856 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5092133439 Practice locations: Hicksville, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Good RX LLC459 S Broadway, Hicksville, NY 11801-5068(516) 595-7400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 25, 2020

National Provider Directory

National Provider Directory

Locations

459 S Broadway
Hicksville, NY 11801
Phone (516) 595-7400

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": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1962028423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015068",
            "telephone_number": "516-595-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "HASIBULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-595-7400",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "primers",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "primers",
            "address_1": "459 S Broadway",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118015068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.