Patchogue Supermarkets Llc
Community/Retail Pharmacy
95 Sunrise Hwy W, Patchogue
New York, 11772-1847
631-286-5030 631-286-5031
Patchogue Supermarkets Llc is a Community/Retail Pharmacy in Patchogue, New York. It is located at 95 Sunrise Hwy W, Patchogue and it's customer support contact number is 631-286-5030. The authorized person of Patchogue Supermarkets Llc is Melissa Figueroa Rivera who is Third Party Administrator of the pharmacy and his contact number is 732-521-8439. Active license number of Patchogue Supermarkets Llc is 030921 for Community/Retail Pharmacy in New York. Patchogue Supermarkets Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Patchogue Supermarkets Llc 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:
Patchogue Supermarkets Llc 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: | Patchogue Supermarkets Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 95 Sunrise Hwy W, Patchogue,
New York, 11772-1847 |
| Phone: | 631-286-5030 |
| Fax: | 631-286-5031 |
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: | Melissa Figueroa Rivera |
| Position: | Third Party Administrator |
| Contact Number: | 732-521-8439 |
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: | 1831483007 |
| NPI Enumeration Date: | 06 Jun, 2011 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patchogue Supermarkets Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 030921 | New York | Primary | |
| 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 |
| 03395631 | Medicaid | New York | |
| 2132354 | Other | | Pk |
Medicare Enrollment:
Patchogue Supermarkets Llc 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 |
| 8729255799 | O20120113000435 | Patchogue Supermarkets Llc | DME SUPPLIER - PHARMACY |
| 8729255799 | O20121003000461 | Patchogue Supermarkets Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | P.o. Box 15169,
Newark, New Jersey |
| Zip: | 07192 |
| Phone Number: | 631-286-5030 |
Patients can reach Patchogue Supermarkets Llc at
95 Sunrise Hwy W, Patchogue, New York or can
call on customer care at 631-286-5030.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.