PHYSIO PHARMACY INC NPI 1346017332

NPI Information

  • NPI: 1346017332
  • Provider Name: PHYSIO PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 488A E JERICHO TPKE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 424-0125

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NPI Details

PHYSIO PHARMACY INC is a community/retail pharmacy pharmacy in Huntington Station, NY. The provider 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. PHYSIO PHARMACY INC NPI is 1346017332. The provider is registered as an organization entity type.

The provider's business location address is:

488A E JERICHO TPKE
HUNTINGTON STATION, NY
ZIP 11746-312
Phone: (631) 424-0125
Fax: (631) 385-1582

The provider's authorized official is Ilya Sholomov .
The authorized official title is Owner and has the following contact phone number (631) 424-0125.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 10/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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