112 Pharmacy & Surgical is an authorized DME supplier for medicare equipments and products.
112 Pharmacy & Surgical is a Community/Retail Pharmacy in Patchogue, New York. This pharmacy is owned and operated by Paak Pharmacy Inc. It is located at 689 Medford Ave, Patchogue and it's customer support contact number is 631-289-2468. The authorized person of 112 Pharmacy & Surgical is Rajendraprasad Venigalla who is Secretary of the pharmacy and his contact number is 347-528-8893. Active license number of 112 Pharmacy & Surgical is 033702 for Community/Retail Pharmacy in New York. 112 Pharmacy & Surgical accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. 112 Pharmacy & Surgical is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
112 Pharmacy & Surgical type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
112 Pharmacy & Surgical
Type:
Community/Retail Pharmacy
Location:
689 Medford Ave, Patchogue, New York, 11772-1347
Phone:
631-289-2468
Fax:
631-307-9360
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Rajendraprasad Venigalla
Position:
Secretary
Contact Number:
347-528-8893
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1780052001
NPI Enumeration Date:
03 Sep, 2015
NPI Last Update On:
27 Jan, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 112 Pharmacy & Surgical are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
033702
New York
Primary
Pharmacy
Secondary
Long Term Care Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04601929
Medicaid
New York
2153923
Other
Pk
Medicare Enrollment:
112 Pharmacy & Surgical is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
8820378516
O20161215001811
Paak Pharmacy Inc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
689 Medford Ave, Patchogue, New York
Zip:
11772-1347
Phone Number:
631-289-2468
Fax Number:
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Patients can reach 112 Pharmacy & Surgical at 689 Medford Ave, Patchogue, New York or can call on customer care at 631-289-2468.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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