112 PHARMACY & SURGICAL
NPI 1780052001
Pharmacy - Community/Retail Pharmacy in Patchogue, NY

Q: What is Paak Pharmacy Inc's NPI number?

The NPI number for Paak Pharmacy Inc is 1780052001. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as 112 Pharmacy & Surgical.

Q: What is Paak Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Paak Pharmacy Inc was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 03, 2015

689 MEDFORD AVE, PATCHOGUE, NY 11772(631) 289-2468(631) 307-9360 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2021, Apr 13, 2020, Dec 20, 2018 and 1 more (4 updates tracked since 2017).

On this page

About 112 Pharmacy & Surgical NPPES

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

112 PHARMACY & SURGICAL (NPI 1780052001) is a healthcare organization registered as a community/retail pharmacy in Patchogue, New York and active in the NPI registry since September 2015. The organization lists Rajendraprasad Venigalla, Secretary, as its authorized official.

NPPES Registry Identity

NPI1780052001

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePAAK PHARMACY INC

Location Address689 MEDFORD AVEPatchogue, NY 11772-1347

Mailing Address689 Medford AvePatchogue, NY 11772-1347 · (631) 289-2468

Phone(631) 289-2468

Fax(631) 307-9360

Organization SubpartNo

Authorized OfficialRajendraprasad VenigallaSecretary · (347) 528-8893

Enumeration DateSeptember 3, 2015

Last NPPES UpdateJanuary 27, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2021

✔ NPI 1780052001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NY · 033702

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

689 MEDFORD AVE, Patchogue, NY 11772

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Other Names 1

Doing Business As112 Pharmacy & Surgical

Other Identifiers 2

Other2153923Pk

Medicaid04601929NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Paak Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Paak Pharmacy Inc

DMEPOS supplier · Patchogue, NY

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Does not accept Medicare assignment

Paak Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20476949

Medicare Participant SinceAugust 23, 2016

Supplier Location689 Medford AvePatchogue, NY 11772

Phone(631) 289-2468

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA MARIE HAFF PHARMD

Pharmacist

689 MEDFORD AVE
EAST PATCHOGUE, NY 11772

Suffolk County (631) 289-2468

PAULITHA PASALA

Pharmacist

689 MEDFORD AVE
PATCHOGUE, NY 11772

Suffolk County (631) 289-2468

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 Paak Pharmacy Inc's NPI number?

The NPI number for Paak Pharmacy Inc is 1780052001. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as 112 Pharmacy & Surgical.

Where is Paak Pharmacy Inc located?

Paak Pharmacy Inc is located at 689 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 289-2468.

What is Paak Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Paak Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Paak Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Paak Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Paak Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paak Pharmacy Inc was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.