MOMS PHARMACY INC NPI 1578550729

NPI Information

  • NPI: 1578550729
  • Provider Name: MOMS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MOMS PHARMACY INC
  • Address: 45 MELVILLE PARK RD
    MELVILLE, NY
    ZIP 11747
  • Phone: (631) 547-6520

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NPI Details

MOMS PHARMACY INC is a community/retail pharmacy pharmacy in Melville, 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. MOMS PHARMACY INC NPI is 1578550729. The provider is registered as an organization entity type.
The provider Is Doing Business As Moms Pharmacy Inc.

The provider's business location address is:

45 MELVILLE PARK RD
MELVILLE, NY
ZIP 11747-109
Phone: (631) 547-6520
Fax: (631) 249-5865

The provider's authorized official is Russ Fichera .
The authorized official title is Sr Vp, Cfo and has the following contact phone number (631) 870-5126.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 5/9/2012.

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
13336L0003XPharmacyLong Term Care PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy021158NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10023990MEDICAIDNEW JERSEY
202533719MEDICAIDNEW YORK
33323324OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
4003111672MEDICAIDCONNECTICUT

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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