Logos Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LOGOS PHARMACY, LLC

Practice address

12 New Dorp LN
Staten Island, NY 10306-2323

Phone

(917) 456-1066

Fax

(917) 456-1067

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Peter Meshreky

Title

Managing Member

Phone

(917) 456-1066

Specialties & licenses 1

Addresses

Other names 1

• LOGOS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Klinti Hoxha, PHARMD

  • Pharmacist
  • Staten Island, NY
  • NPI 1548149875
  NPD
• Peter George Matter

  • Pharmacist
  • Staten Island, NY
  • NPI 1467319442
  NPD (past)

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1962101196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062323",
            "telephone_number": "917-456-1066",
            "fax_number": "917-456-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062323",
            "telephone_number": "917-456-1066",
            "fax_number": "917-456-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MESHREKY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-456-1066"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorianne Lodico
• Jeffrey Loeffler, MD
• Joshua Noah Loewenstern, MD
• Nicole M Loffredo, OTR/L
• James Loftus, M.D.
• Lynda Lohse, REGISTERED NURSE
• Brandon Eric Lokshin, DO
• Nicolette Rose Lomando, CCC-SLP
• Nicholas Joseph Lombardi, PHARMD, RPH
• Jaime Ann Lombardo, MASTER OF SCIENCE

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.