NPI
Paak Pharmacy Inc
Doing business as 112 Pharmacy & Surgical. Phone (631) 289-2468 · Fax (631) 307-9360 · NPI 1780052001
Read from the NPPES registry on October 23, 2026.
112 Pharmacy & Surgical pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-09-03
- Last updated
- 2021-01-27
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Specialties
Licenses
- License NY
- 033702
Location
- Practice location
- 689 Medford Ave
- City
- Patchogue NY
- Postal code
- 11772-1347
- Phone
- (631) 289-2468
- Fax
- (631) 307-9360
Organization contact
- Name
- Rajendraprasad Venigalla
- Title
- Secretary
- Phone
- (347) 528-8893
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Patchogue, NY. 9 with this primary taxonomy in the public file.
Other NPIs in Patchogue, NY. 1,275 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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