Pharmacy 112 Inc.
Pharmacy
2608 Route 112 # B, Medford
New York, 11763-2551
631-438-0530 Pharmacy 112 Inc. is a Pharmacy in Medford, New York. It is located at 2608 Route 112 # B, Medford and it's customer support contact number is 631-438-0530. The authorized person of Pharmacy 112 Inc. is Crystal Koller who is Coo of the pharmacy and his contact number is 631-475-4141. Active license number of Pharmacy 112 Inc. is 032401 for Pharmacy in New York. Pharmacy 112 Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pharmacy 112 Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Pharmacy 112 Inc. 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: | Pharmacy 112 Inc. |
| Type: | Pharmacy |
| Location: | 2608 Route 112 # B, Medford,
New York, 11763-2551 |
| Phone: | 631-438-0530 |
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: | Crystal Koller |
| Position: | Coo |
| Contact Number: | 631-475-4141 |
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: | 1598186595 |
| NPI Enumeration Date: | 18 Dec, 2013 |
| NPI Last Update On: | 27 Oct, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pharmacy 112 Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 032401 | New York | Primary | |
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 |
| 1598186595 | Other | New York | Npi |
| 032401 | Other | New York | Registration |
Medicare Enrollment:
Pharmacy 112 Inc. 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 |
| 1850603424 | O20150710000294 | Pharmacy 112 Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Pharmacy 112 Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Nutrients |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2608 Route 112,
Medford, New York |
| Zip: | 11763-2551 |
| Phone Number: | -- |
Patients can reach Pharmacy 112 Inc. at
2608 Route 112 # B, Medford, New York or can
call on customer care at 631-438-0530.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.