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PHARMACY 112 INC.
NPI 1598186595
Pharmacy in Medford, NY

Active since December 18, 2013
2608 ROUTE 112 # B, MEDFORD, NY 11763(631) 438-0530 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pharmacy 112 Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMACY 112 INC. (NPI 1598186595) is a healthcare organization registered as a pharmacy in Medford, New York and active in the NPI registry since December 2013. The organization lists Crystal Koller, Coo, as its authorized official.

NPPES Registry Identity

NPI1598186595
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePHARMACY 112 INC.
Location Address2608 ROUTE 112 # BMedford, NY 11763-2551
Mailing Address2608 Route 112Medford, NY 11763-2551
Phone(631) 438-0530
Organization SubpartNo
Authorized OfficialCrystal KollerCoo · (631) 475-4141
Enumeration DateDecember 18, 2013
Last NPPES UpdateOctober 27, 2015
✔ NPI 1598186595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 032401
Definition
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.
2608 ROUTE 112 # B, Medford, NY 11763
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Other Identifiers 3

Other032401NY · Registration
Other1598186595NY · Npi
Medicare NSC7354490001NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmacy 112 Inc.'s NPI number?

The NPI number for Pharmacy 112 Inc. is 1598186595. It was assigned to this organization in the NPPES registry on December 18, 2013.

Where is Pharmacy 112 Inc. located?

Pharmacy 112 Inc. is located at 2608 Route 112 # B, Medford, NY 11763. The listed phone number is (631) 438-0530.

What is Pharmacy 112 Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Pharmacy 112 Inc. was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.