Organization Active NPI

Orphan Pharmacy Services, LLC

  • Specialty Pharmacy
  • Plainview, NY
National Provider Identifier
1982113627
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ORPHAN PHARMACY SERVICES, LLC
Practice address
131 Sunnyside Blvd Ste 100B
Plainview, NY 11803-1539
Phone
(516) 753-9950
Fax
(516) 753-9964
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Hossam Maksoud
Title
Ceo
Phone
(516) 753-9950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 035742 NY
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

131 Sunnyside Blvd Ste 100B
Plainview, NY 11803-1539

Mailing address

131 Sunnyside Blvd Ste 100B
Plainview, NY 11803-1539
Phone (516) 753-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220720002964 NY Part B Supplier - Pharmacy 0042560633 Practice locations: Plainview, NY

National Provider Directory

National Provider Directory

Locations

131 Sunnyside Blvd
Ste 100B
Plainview, NY 11803
Phone (516) 753-9950

125 Michael Dr
Ste 106
Syosset, NY 11791
Phone (347) 669-1693

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1982113627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SUNNYSIDE BLVD STE 100B",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031539",
            "telephone_number": "516-753-9950",
            "fax_number": "516-753-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUNNYSIDE BLVD STE 100B",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031539",
            "telephone_number": "516-753-9950",
            "fax_number": "516-753-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORPHAN PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MAKSOUD",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-753-9950"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "035742",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.